Individual
KEVIN L GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35126005
OH
390200000X
Student in an Organized Health Care Education/Training Program
LL1858
NV
Other
Enumeration date
06/24/2008
Last updated
01/09/2019
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