Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kevin E Grant, MD

Individual provider Pediatrics Physician · NPI 1730107368

Dr. Kevin E Grant, MD is a Pediatrics Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13164 N Town Ridge Rd
Boise, ID 83714
Phone: (916) 989-6400
Fax: (916) 635-8047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MV-0025 (ID)

Record details

NPI number1730107368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESAugust 26, 2023
Certification dateAugust 26, 2023
Mailing address1004 River Rock #131, 131, Folsom, CA 95630-2095

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