Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Khristopher Michael Grant, PA-C

Individual provider Physician Assistant · NPI 1194255224

Mr. Khristopher Michael Grant, PA-C is a Physician Assistant in Maplewood, Minnesota. Graduated from Tufts University School of Medicine in 2017, 9 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Trained at
Tufts University School of Medicine
Licensed in
MN
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3100 Kennard St Ste 100
Maplewood, MN 55109-5466
Phone: (651) 232-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Woodwinds Dr, Woodbury, MN 55125-2202 — (651) 232-6700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12403 (MN)

Record details

NPI number1194255224
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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