Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimball Tyson Bailey, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073176400

Kimball Tyson Bailey, DO is an Internal Medicine in Draper, Utah. Graduated from Liberty Univ College of Osteopathic Medicine in 2019, 7 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Draper, UT

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 18701 N 67th Ave, Glendale, AZ 85308-7100 — (623) 561-1000
  • 11333 S 1000 E Ste 100, Sandy, UT 84094-5421 — (801) 571-4100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12740511-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073176400
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 22, 2019
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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