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

Kelby Borchgrevink

Individual provider Physician Assistant · NPI 1023530219

Kelby Borchgrevink is a Physician Assistant in Fresno, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

3425 N 1st St
Fresno, CA 93726-6821
Phone: (559) 608-6581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4989 N 3rd St, Laramie, WY 82072-9548 — (307) 745-8997

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63438 (CA)

Record details

NPI number1023530219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2017
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address4908 Brahma St, Gillette, WY 82718-8503

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