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KENNETH GRIER MD INC NPI 1972109551


NPI Information

NPI: 1972109551
Provider Name: KENNETH GRIER MD INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2210769

Address:
18564 US HIGHWAY 18 STE 101-102
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 475-9080
Get Directions

KENNETH GRIER MD INC is a family medicine in Apple Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENNETH GRIER MD INC NPI is 1972109551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18564 US HIGHWAY 18 STE 101-102
APPLE VALLEY, CA
ZIP 92307-312
Phone: (760) 475-9080

The provider's authorized official is Kenneth Grier .
The authorized official title is President and has the following contact phone number (760) 475-9080.

The CLIA number assigned to this NPI record is 05D2210769 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2020 and was last updated on 12/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 11/14/2023

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