Physician Assistant
KYLE RAYMOND
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 Plan acceptance stays unpublished until the practice reports it.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 1750864955 · enumerated 2018-09-13 · record updated 2023-08-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 Google Maps Apple Maps OpenStreetMap
- Practice location 1281 N 600 E, LOGAN, UT, 84341-6988 (435) 716-6400 Fax (385) 297-2348 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License MED-PAC-LIC-69721 MT
- Physician Assistant, Surgical 363AS0400X · License MED-PAC-LIC-69721 MT
- Physician Assistant 363A00000X · Primary · License 13339650-1206 UT
In this directory
Locations and evidence
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Practice location
LOGAN, UT, 843416988
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.