Organization
GRAND MESA NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE E KIM M.D. (PRESIDENT)
(406) 248-5511
Entity
Organization
Contact information
Practice address
2748 CROSSROADS BLVD, GRAND JUNCTION, CO 81506-3933
(970) 255-0919
(970) 255-0901
Mailing address
7641 CHAROLAIS ST, BILLINGS, MT 59106-9664
(406) 248-5511
(406) 248-5540
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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