Individual
DR. KYLA KRISTINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7301 ROGERS AVE FL 4, FORT SMITH, AR 72903-4100
(479) 314-4900
Mailing address
5224 75TH ST STE D, LUBBOCK, TX 79424-2525
(806) 712-1096
(806) 771-2093
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
216132
AR
363LA2200X
Adult Health Nurse Practitioner
216132
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
216132
AR
Other
Enumeration date
07/15/2021
Last updated
12/10/2024
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