Grimm, Kathleen T.

Grimm, Kathleen T. is an individual health care provider with primary practice located at 3560 N Buffalo St , Orchard Park NY 14127-1934. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Grimm, Kathleen T. can be contacted via phone (716) 662-8510.

Contact Information

Primary practice address
3560 N Buffalo St Orchard Park NY 14127-1934
Phone: (716) 662-8510
Fax: (716) 662-8574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 198122 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 198122 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 198122 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 198122 New York

Profile Details

NPI number 1396709499
LBN Legal business name Grimm, Kathleen T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 7th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396709499 NPPES
New York MEDICAID 01744283
New York Other 000524676004
New York Other 080515000099
New York Other 00010298402
New York Other 000524676001
New York Other 000524676005
New York Other 051213000027
New York Other 000524676003
New York Other 0409065
New York Other 05092300013
New York Other 00010298401

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