Individual provider · Type 1 NPI
Kimberly Ann Grundy, APN
Pediatric Nurse Practitioner · Little Rock, AR
NPI number
1255579124
Active
Practice location
800 Marshall St # 512-3
Little Rock, AR 72202-3510
Mailing address
12A S Beryl Rd
Jacksonville, AR 72076-8708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | A03184 (AR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1255579124
Kimberly Ann Grundy, APN's National Provider Identifier is 1255579124, issued on Jan 29, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Little Rock, AR. The record was last updated on Jan 29, 2009.