MS. KIMBERLY GILLIAM GRANT


Address: 6107 N 1st St Ste 103, Fresno, CA 93710-5460
Phone: 5594324963

MS. KIMBERLY GILLIAM GRANT (NPI# 1871569855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871569855
Entity Type Individual
Full Name MS. KIMBERLY GILLIAM GRANT
Credential PA-C
Practice Address 6107 N 1st St Ste 103
Fresno
CA 93710-5460
Practice Telephone 5594324963
Mailing Telephone 5594324963
Enumeration Date 2006-02-28
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
9109580 FL Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
TL1232 SC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA642 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 0576APA 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1590 Freedom Blvd, Suite A, Florence, SC 295056040 8436291791 8436291794
1718 Mockingbird Ln, Lakeland, FL 33801 8632721550

Other Providers KIMBERLY GRANT

NPI Name Taxonomy Address Enumeration
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1336789353 Kimberly Renee Grant Occupational Therapist 4878 W Park Cir, Atlanta, GA 30349-2049 2020-01-07
1447634969 Kimberly Grant Speech-Language Pathologist 9102 N Lilley Rd, #249, Plymouth, MI 48170-4644 2015-07-14
1487953352 Kimberly Elizabeth Grant Physical Therapy Assistant 6134 Bridlewood Ln, Charlotte, NC 28215-1612 2011-03-17
1538681234 Kimberly Elizabeth Grant Pharmacist 6501 Loisdale Ct, Springfield, VA 22150-1826 2017-07-13
1154691079 Kimberly Javon Grant Massage Therapist 211 Pleasant Home Rd, Suite F-1, Augusta, GA 30907-0518 2012-01-09
1992082150 Kimberly Michelle Grant Nurse Practitioner 1115 E. Ridgewood St., Orlando, FL 32803 2011-11-15
1811273063 Kimberly S. Grant Counselor 276 Main St, Lewiston, ME 04240-7024 2011-11-01
1841419496 Kimberly Elise Grant Occupational Therapist 455 N 3rd St, Suite 200, Phoenix, AZ 85004-3924 2007-04-24

Office Location

Street Address 6107 N 1ST ST STE 103
City FRESNO
State CA
Zip Code 93710-5460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831185230 Karen Ledee Lewis Internal Medicine 6107 N 1st St Ste 103, Fresno, CA 93710-5460 2005-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184240384 Patsy Joan Perry Counselor Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 2020-06-23
1831739853 Blanca Stephanie Millan Counselor 1300 E Shaw Ave Suite 172, Fresno, CA 93710 2020-01-07
1679115737 Abel Luis Flores Physical Therapy Assistant 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 2019-10-10
1316408933 Simranjit Kaur Mann Behavioral Analyst 5180 North Primitivo Way Appt #363, Fresno, CA 93710 2019-03-27
1093274169 Aleajndra Bedolla Alcantar Behavior Technician 1320 East Shaw Ave, #110, Fresno, CA 93710 2019-03-18
1790244960 Alondra Martinez Behavior Technician 1320 East Shaw Ave #110, Fresno, CA 93710 2019-03-18
1235698622 Irma Joselyn Castro Behavior Technician 1320 East Shaw Ave # 110, Fresno, CA 93710 2019-03-15
1619433711 Beacon Dental Group Dentist 6099 N. First Ste Ste 102, Fresno, CA 93710 2019-02-13
1265909394 Pathana Phonesy Behavior Technician 5363 N. Fresno St., Suite 105, Fresno, CA 93710 2018-10-26
1376030080 Jane F Kardashian Md Inc Non-Pharmacy Dispensing Site 6769 N Fresno, Fresno, CA 93710 2018-04-18
Find all providers in zip 93710

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881972164 Pamela Oliver Physician Assistant 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 2011-08-03
1750505061 Bounmy - Pinyasone Physician Assistant 141 N. Clark Street, Suite A, Fresno, CA 93701-2124 2007-04-11
1134253180 Joseph John Contreras Physician Assistant 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 2007-03-14
1083653729 Sheri Lynn Oswald Physician Assistant 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 2006-06-06
1447247820 Miriam Levitt Physician Assistant 4770 W Herndon Ave, Fresno, CA 93722-8401 2005-09-30
1285257063 Blake Phillip Dreihaus Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-05-27
1710509013 Katherine Marie Pate Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-05-11
1982187100 Theresa Ann Dwyer Physician Assistant 2335 E Kashian Ln Ste 240, Fresno, CA 93701-2211 2018-09-13
1639699853 Gabrielle Melissa Powell Physician Assistant 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 2017-06-20
1891220323 Amy Maier Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2017-04-21
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93710

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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