NPI 1669859054 · live from the CMS NPI Registry
Kenneth Scott Griffin, M.D.
Psychiatry & Neurology, Neurology in Provo, UT. National Provider Identifier 1669859054, active.
NPI record
| NPI | 1669859054 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 395 W Bulldog Blvd, Provo, UT 84604 |
| Practice phone | 801-357-7420 |
| Mailing address | 18415 N 46th St, Phoenix, AZ 85032 |
| Enumerated | May 5, 2015 |
| Last updated | April 30, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 11463472-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.