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

Kaylun Grandy, PA-C

Individual provider Medical Physician Assistant · NPI 1467950154

Kaylun Grandy, PA-C is a Physician Assistant in Evanston, Wyoming. Qualified in 2017, 9 years ago. Practices with Sterling Provider Group, a 53-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
9
Licensed in
NV
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1952 Harrison Dr
Evanston, WY 82930-3241
Phone: (307) 382-3064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 250 Country Club Pkwy, Spring Creek, NV 89815-5830 — (775) 750-7159
  • 250 Country Club Pkwy, Spring Creek, NV 89815-5830 — (775) 750-7159
  • 47 Doc Perkes Rd, Afton, WY 83110-8311 — (307) 885-3637
  • 2761 Commercial Way, Rock Springs, WY 82901-4753 — (307) 382-3064

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1934 (NV)

Record details

NPI number1467950154
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2018
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare