Individual
KIMBERLY A GRANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817
(916) 734-2182
Mailing address
4860 Y ST STE 3800, SACRAMENTO, CA 95817-2307
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A138068
CA
Other
Enumeration date
04/01/2014
Last updated
09/10/2019
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