Kimberly Patricia Grill, PA
Physician Assistant in Worcester, MA. Individual provider (NPI-1).
NPI number1164032629
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1164032629
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Patricia Grill
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2020
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA8055 | MA | Yes |
Practice location
5 Neponset StWorcester, MA 01606-2714
Phone 508-595-2300 · Fax 508-535-1523
Mailing address
5 Neponset StWorcester, MA 01606-2714
Phone 508-595-2300 · Fax 508-535-1523
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All 425 Physician Assistant providers in Worcester · All 14,792 providers in Worcester
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