NPI 1013784602

Kyndall Denise Grogan, PA

Practitioner Surgical Physician Assistant Columbus, GA

Practice location

Address: 1900 10th Ave STE 211, Columbus, GA 31901-3604
Phone: (706) 507-0220
Mailing address: PO Box 370, Fortson, GA 31808-0370

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 12137 (GA)

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Registry record

NPI: 1013784602
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2023
Record last updated: 3 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.