Kimberly K Grande (NPI# 1073666335, PAC ID# 0345284881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1073666335 |
| PAC ID by PECOS | 0345284881 |
| Professional Enrollment ID | I20050615000289 |
| Full Name | Kimberly K Grande |
| Organization Legal Name | SKIN WELLNESS CENTER PC |
| Address |
10215 Kingston Pike Suite 200 Knoxville TN 37909-3222 |
| Phone Number | 8655848580 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1658313549 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440015 | UNIVERSITY OF TN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 | 8655848580 | SKIN WELLNESS CENTER PC |
| Organization Legal Name | SKIN WELLNESS CENTER PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Noel Ware | Nurse Practitioner | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Danielle Warren | Physician Assistant | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Lindsay Greer Frazier | Nurse Practitioner | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Janet D Breeding | Physician Assistant | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Meredith T Overholt | Dermatology | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Street Address |
10215 KINGSTON PIKE SUITE 200 |
| City | KNOXVILLE |
| State | TN |
| Zip | 37909-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Noel Ware | Nurse Practitioner | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Danielle Warren | Physician Assistant | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Lindsay Greer Frazier | Nurse Practitioner | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Laura Church | Nurse Practitioner | Summit Medical Group, Pllc | 10215 Kingston Pike, Suite 100, Knoxville, TN 37922-3492 |
| Janet D Breeding | Physician Assistant | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Hannah W Cudzilo | Nurse Practitioner | Summit Medical Group, Pllc | 10215 Kingston Pike, Suite 100, Knoxville, TN 37922-3492 |
| Meredith T Overholt | Dermatology | Skin Wellness Center PC | 10215 Kingston Pike, Suite 200, Knoxville, TN 37909-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan B Gibson | Physical Therapy | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Cynthia L Whisenant | Nurse Practitioner | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Amie Phipps | Nurse Practitioner | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Susan Carnahan | Occupational Therapy | 1454 Francis Station Dr, Knoxville, TN 37909-1123 | |
| Mary L Byrd | Nurse Practitioner | 2820 Lake Brook Blvd, Knoxville, TN 37909-1133 | |
| Jeremiah N Bivins | Allergy/immunology | Allergy Associates, Pa | 1320 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| James S Hicks | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Jeffrey A Mcmichael | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Douglas J Marlow | Internal Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| James P Howell | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Find all physicians in zip 37909 | |||
| City | KNOXVILLE |
| Zip Code | 37909 |
| Specialty | DERMATOLOGY |
| City + Specialty | KNOXVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Kimberly K Grande.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.