Individual
MRS. KIMBERLY ANN GRUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 MARSHALL ST # 512-3, LITTLE ROCK, AR 72202-3510
(501) 364-1479
Mailing address
12A S BERYL RD, JACKSONVILLE, AR 72076-8708
(501) 749-5446
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A03184
AR
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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