Individual provider · Type 1 NPI

Kimberly Alene Gregg, PA-C

Surgical Physician Assistant · Providence, RI

NPI number 1922172121 Active

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Call (973) 676-1000 Map

Mailing address

60 Ravenswood Ave
Providence, RI 02908-2022

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00163000 (NJ)
Surgical Physician Assistant Primary 363AS0400XPA00463 (RI)

Surgical Physician Assistant: Definition to come...

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About NPI 1922172121

Kimberly Alene Gregg, PA-C's National Provider Identifier is 1922172121, issued on Nov 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Providence, RI. The record was last updated on Jul 22, 2011.