Individual provider · Type 1 NPI

Kelsey Grimmer, PA

Medical Physician Assistant · Lake Forest, IL

NPI number 1265695530 Active

Practice location

900 N Westmoreland Rd, Ste 222
Lake Forest, IL 60045-1674

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2303 (WI)
Medical Physician Assistant Primary 363AM0700X085004128 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1265695530

Kelsey Grimmer, PA's National Provider Identifier is 1265695530, issued on Jul 8, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Forest, IL. The record was last updated on Feb 19, 2016.