Grimes, Kelly Damon

Grimes, Kelly Damon is an sole proprietor health care provider with primary practice located at 3437 W 7Th St Suite 210, Fort Worth TX 76107-2718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Grimes, Kelly Damon can be contacted via phone (817) 797-6599.

Contact Information

Primary practice address
3437 W 7Th St Suite 210 Fort Worth TX 76107-2718
Phone: (817) 797-6599
Fax: (817) 735-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7749 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X K7749 Texas

Profile Details

NPI number 1497787873
LBN Legal business name Grimes, Kelly Damon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497787873 NPPES
Texas MEDICAID 144815104
Texas Other 0056PJ

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