Individual
REGINA LEAH GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
155 LEFT FORK OF GRASSY CRK, STAFFORDSVILLE, KY 41256-9109
(606) 225-3530
Mailing address
155 LEFT FORK OF GRASSY CRK, STAFFORDSVILLE, KY 41256-9109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4052401
KY
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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