Individual
MS. ANDREA M GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1176
(859) 313-3586
Mailing address
1431 CENTERPOINT BLVD, KNOXVILLE, TN 37932-1984
(865) 985-7221
(865) 560-7114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2074
KY
363AM0700X
Medical Physician Assistant
00772
WV
Other
Enumeration date
06/07/2006
Last updated
05/06/2016
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