Individual
DR. KELLY DAMON GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3437 W 7TH ST, SUITE 210, FORT WORTH, TX 76107-2718
(817) 797-6599
(817) 735-8049
Mailing address
3437 W 7TH ST STE 210, FORT WORTH, TX 76107-2718
(817) 797-6599
(817) 735-8049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K7749
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
K7749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056PJ
BCBS
TX
05
—
144815104
—
TX
Enumeration date
07/07/2006
Last updated
12/15/2025
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