Individual
DR. KIMBERLY ANN GRANDINETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
(509) 324-3726
Mailing address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
(509) 324-3726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00046330
WA
208000000X
Pediatrics Physician
MD23090
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8459828
—
WA
01
—
G8862602
MEDICARE PTAN
WA
01
—
P00419722
MEDICARE RR
WA
Enumeration date
08/18/2005
Last updated
02/09/2012
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