Individual provider · Type 1 NPI
Kyrstanne Kaye Idom, PA
Physician Assistant · Grantsville, UT
Practice location
228 S Tawny Dr
Grantsville, UT 84029-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
Other physician assistant providers in Grantsville
About NPI 1659248953
Kyrstanne Kaye Idom, PA's National Provider Identifier is 1659248953, issued on Oct 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grantsville, UT. The record was last updated on Oct 21, 2025.