Individual
ANDREW J GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5905 CABIN WAY, LOUISVILLE, KY 40222-6120
(502) 715-1207
Mailing address
5905 CABIN WAY, LOUISVILLE, KY 40222-6120
(502) 715-1207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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