Physician Assistant
KELSEY GRANGER PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760255863 · enumerated 2023-11-01 · record updated 2025-02-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 620 SHADOW LN, LAS VEGAS, NV, 89106-4119 (702) 259-1228 Google Maps Apple Maps OpenStreetMap
- Practice location 620 SHADOW LN, LAS VEGAS, NV, 89106-4119 (702) 259-1228 Fax (928) 772-2582 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 10295 AZ
- Physician Assistant 363A00000X · License PA0685 NV
- Physician Assistant 363A00000X · Primary · License PA3011 NV
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891064119
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.