MEDICARE: KIMBERLY H. GREINER VMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	29VI00541400	NJ

General Provider Information

NPI Number	:	1598927394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY H. GREINER VMD

Provider Business Mailing Address
First Line	:	PO BOX 220
Second Line	:
City	:	COLUMBUS
State	:	NJ
Zip	:	08022-0220
Country	:	US
Telephone Number	:	609-298-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3075 ROUTE 206
Second Line	:
City	:	COLUMBUS
State	:	NJ
Zip	:	08022-2042
Country	:	US
Telephone Number	:	609-298-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/02/2008

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