Active NPIIndividual provider

Miss Kimberly A Gregg, PA-C

Physician Assistant, Surgical in Providence, Rhode Island

NPI Number1922172121
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
—
Last updated
July 22, 2011

Kimberly Alene Gregg is a Physician Assistant, Surgical based in Providence, RI. Kimberly Alene Gregg practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Kimberly Alene Gregg is 1922172121 and holds a License No. 25MP00163000 (NJ). The current practice location address for Kimberly Alene Gregg is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1922172121
Provider Name
Kimberly Alene Gregg
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
973-676-1000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2006
Last Update Date
July 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
973-676-1000
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
60 Ravenswood Ave
Providence, RI 02908-2022
City
Providence
State
RI
Zip
02908-2022
Phone Number
732-742-3334

License Information

License Number (1)
25MP00163000
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA00463
License State (2)
RI
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kimberly A Gregg, PA-C?

The NPI number of Miss Kimberly A Gregg, PA-C is 1922172121. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Kimberly A Gregg, PA-C?

Miss Kimberly A Gregg, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00163000.

Where does Miss Kimberly A Gregg, PA-C practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 973-676-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922172121 directly on the NPPES registry website.

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