Individual
DR. KIMBERLY MARIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 N HILLS ST, MERIDIAN, MS 39305-2633
(601) 474-3140
Mailing address
2023 24TH ST, MERIDIAN, MS 39301-2116
(601) 479-4152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3960-17
MS
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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