Individual
KARAN D GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601
(304) 831-1188
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
WV
Other
Enumeration date
10/03/2006
Last updated
11/07/2007
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