KRISTINA VLADIMIROVNA GRABOVA PA-C NPI 1619791043

NPI Information

  • NPI: 1619791043
  • Provider Name: KRISTINA VLADIMIROVNA GRABOVA, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2355 POPLAR LEVEL RD STE G1
    LOUISVILLE, KY
    ZIP 40217
  • Phone: (502) 636-8004

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NPI Details

Kristina Vladimirovna Grabova, PA-C is a physician assistant in Louisville, KY with 1 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Kristina Vladimirovna Grabova, PA-C NPI is 1619791043. 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:

2355 POPLAR LEVEL RD STE G1
LOUISVILLE, KY
ZIP 40217-395
Phone: (502) 636-8004
Fax: (502) 636-8384

The NPI 1619791043 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 11/12/2024 and was last updated on 11/25/2024.

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
1363AM0700XPhysician AssistantMedicalTC098KENTUCKYNo
2363A00000XPhysician AssistantTC098KENTUCKYYes

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: 3/30/2025

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