Grimes, Kerri Lee

Grimes, Kerri Lee is an individual health care provider with primary practice located at 1132 Rutherford Rd , Greenville SC 29609-3927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Grimes, Kerri Lee can be contacted via phone (864) 250-0005.

Contact Information

Primary practice address
1132 Rutherford Rd Greenville SC 29609-3927
Phone: (864) 250-0005
Fax: (864) 250-0028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 4490 South Carolina

Profile Details

NPI number 1952386534
LBN Legal business name Grimes, Kerri Lee
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 9th, 2007 - about 18 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 1952386534 NPPES
South Carolina MEDICAID TH1348

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