Individual
KATHRYN GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12341 STRICKLAND RD STE 102, RALEIGH, NC 27613-1274
(919) 865-8000
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015484
NC
Other
Enumeration date
12/09/2021
Last updated
07/20/2022
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