Keg Surgical Assisting, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

KEG SURGICAL ASSISTING, LLC

Practice address

4905 W Old Potash Hwy
Grand Island, NE 68803-9026

Phone

(308) 379-6727

NPI assigned

Feb 27, 2023

Last updated

Jun 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyrra Griffis, CST, CSFANPI 1568161792

Title

CST, Csfa

Phone

(308) 379-6727

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyrra E Griffis, CST, CSFA

  • Surgical Physician Assistant
  • Grand Island, NE
  • NPI 1568161792

  Surgical Assistant

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686441600000",
    "number": "1366141590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 W OLD POTASH HWY",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039026",
            "telephone_number": "308-379-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 W OLD POTASH HWY",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039026",
            "telephone_number": "308-379-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEG SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "KYRRA",
        "authorized_official_title_or_position": "CST, CSFA",
        "authorized_official_telephone_number": "308-379-6727",
        "authorized_official_credential": "CST, CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kearns, D.D.S.
• Gary L. Keck, MS, LIMHP, CPC, LADC
• Brent Wayne Keenportz, M.D.
• Chad Keezer, MS, PLMHP
• Khloe Grace Keezer, CNA
• Michael Keiser
• Rachel Keiser, APRN
• Jacquelyn Jean Keith
• Abbie Kelley, LPN
• Kelly Family Dentistry

• Surgical Physician Assistant in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Surgical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.