Individual
MS. KIMBERLY GILLIAM GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6107 N 1ST ST STE 103, FRESNO, CA 93710-5460
(559) 432-4963
Mailing address
6107 N 1ST ST STE 103, FRESNO, CA 93710-5460
(559) 432-4963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9109580
FL
363AM0700X
Medical Physician Assistant
PA642
TN
363AM0700X
Medical Physician Assistant
TL1232
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576APA
—
SC
Enumeration date
02/28/2006
Last updated
05/06/2020
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