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Individual
KIMBERLY RENAE GRABER
Active
Individual
KIMBERLY RENAE GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001107A
IN
363AM0700X
Medical Physician Assistant
10001107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000781450
ANTHEM
IN
05
—
300005451
—
IN
01
—
P01291564
RAILROAD MEDICARE
IN
Enumeration date
07/22/2009
Last updated
08/24/2026
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