Individual
KEELEY GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4016
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024187522
VA
Other
Enumeration date
07/11/2023
Last updated
04/24/2024
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