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Ms. Kimberly Gilliam Grant, PA-C
Medical Physician Assistant in Fresno, California
NPI 1871569855

Kimberly Gilliam Grant is a Medical Physician Assistant based in Fresno, CA and is specialized in Medical. Kimberly Gilliam Grant practices in Fresno, CA and has the professional credentials of PA-C. The NPI Number for Kimberly Gilliam Grant is 1871569855 and holds a License No. PA642 (California).

The current practice location address for Kimberly Gilliam Grant is 6107 N 1St St Ste 103, Fresno, CA and can be reached out via phone at 559-432-4963.

Location: 6107 N 1St St Ste 103, Fresno, CA, 93710-5460
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Provider Profile Details
NPI Number
1871569855
Provider Name
Kimberly Gilliam Grant
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6107 N 1St St Ste 103, Fresno, CA, 93710-5460
Phone Number
559-432-4963
Fax Number
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0576APA 05 SC
institution
Provider Business Practice Location Address Details
Address
6107 N 1St St Ste 103
City
State
Zip
93710-5460
Phone Number
559-432-4963
Fax Number
person
Provider Business Mailing Address Details
Address
6107 N 1St St Ste 103
City
State
Zip
93710-5460
Phone Number
559-432-4963
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA642 (Tennessee)
Definition
Definition to come...
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