Individual provider · Type 1 NPI

Kim Nickole Grady

Nurse Practitioner · Pikesville, MD

NPI number 1073343349 Active

Practice location

4 Chudleigh Ct
Pikesville, MD 21208-6400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR165079 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073343349

Kim Nickole Grady's National Provider Identifier is 1073343349, issued on Aug 2, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pikesville, MD. The record was last updated on Jan 1, 2026.