P Praxis·MD
● Active Type 1 · Individual

DR. Kevin E Grant, M.D.

Pediatrics·Boise, ID· NPI 1730107368 · Enumerated 2006 · 19 years on NPI
Grant is 1 of 72 pediatrics providers in Boise and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2006-07-18
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
13164 N. Town Ridge Rd
Boise, ID 83714
📞 9169896400fax 9166358047
Mailing address
1004 River Rock #131, #131
Folsom, CA 956302095
📞 9169896400fax 9166358047

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #MV-0025 taxonomy 208000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 5 new pediatrics providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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