| Kyrstanne Kaye Idom, PA | |
|
228 S Tawny Dr, Grantsville, UT 84029-5028 | |
| (801) 580-9139 | |
| Not Available |
| Full Name | Kyrstanne Kaye Idom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 228 S Tawny Dr, Grantsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659248953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyrstanne Kaye Idom, PA 228 S Tawny Dr, Grantsville, UT 84029-5028 Ph: (801) 580-9139 | Kyrstanne Kaye Idom, PA 228 S Tawny Dr, Grantsville, UT 84029-5028 Ph: (801) 580-9139 |
Rebekah Ruth Aldridge, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 822 E Main St, Suite 7, Grantsville, UT 84029 Phone: 435-884-3578 Fax: 435-884-3582 | |
Alex Wade Childs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 822 E Main St Ste 7, Grantsville, UT 84029 Phone: 435-884-3578 |