Individual
KIMBERLY PATRICIA GRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 535-1523
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 535-1523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110171499A
—
MA
Enumeration date
08/08/2020
Last updated
11/30/2023
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