Grimes, Kristin A
Grimes, Kristin A is an individual health care provider with primary practice located at 175 Nate Whipple Hwy Ste 102 , Cumberland RI 02864-1422. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Grimes, Kristin A can be contacted via phone (401) 334-5437.Contact Information
Primary practice address
175 Nate Whipple Hwy Ste 102
Cumberland RI 02864-1422
Phone: (401) 334-5437
Fax: (401) 334-3571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD12296 | Rhode Island |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD12296 | Rhode Island |
Profile Details
| NPI number | 1063618783 |
|---|---|
| LBN Legal business name | Grimes, Kristin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063618783 | NPPES |
| Rhode Island | Other | MD12296 | MEDICAL LICENSE |
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