MISS KIMBERLY ALENE GREGG PA-C NPI 1922172121

NPI Information

NPI: 1922172121
Provider Name: MISS KIMBERLY ALENE GREGG, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
830 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908
Phone: (973) 676-1000
Get Directions

MISS Kimberly Alene Gregg, PA-C is a surgical physician assistant in Providence, RI. MISS Kimberly Alene Gregg, PA-C NPI is 1922172121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

830 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908-734
Phone: (973) 676-1000

The NPI 1922172121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		25MP00163000	NEW JERSEY	No
2	363AS0400X	Physician Assistant	Surgical	PA00463	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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