Grandinetti, Kimberly Ann
Grandinetti, Kimberly Ann is an individual health care provider with primary practice located at 322 W North River Dr , Spokane WA 99201-3208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grandinetti, Kimberly Ann can be contacted via phone (509) 324-6464.Contact Information
Primary practice address
322 W North River Dr
Spokane WA 99201-3208
Phone: (509) 324-6464
Fax: (509) 324-3726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD23090 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00046330 | Washington |
Profile Details
| NPI number | 1801888524 |
|---|---|
| LBN Legal business name | Grandinetti, Kimberly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Feb 9th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801888524 | NPPES |
| Washington | Other | G8862602 | MEDICARE PTAN |
| Washington | MEDICAID | 8459828 | MEDICARE PTAN |
| Washington | Other | P00419722 | MEDICARE PTAN |
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