Individual provider · Type 1 NPI
Keith Michael Grimes, D.P.M.
Foot & Ankle Surgery Podiatrist · Philadelphia, PA
NPI number
1205190634
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
340 Dawson St
Philadelphia, PA 19128-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006368 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1205190634
Keith Michael Grimes, D.P.M.'s National Provider Identifier is 1205190634, issued on Jun 29, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2012.