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NPI Code Detail

MEDICARE: KIMBERLY GREGG DNP

MEDICARE: KIMBERLY GREGG DNP
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
1363LF0000XFamily Nurse PractitionerSP020610PA

General Provider Information

NPI Number : 1588210751
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY GREGG DNP
Provider Business Mailing Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number : 878-201-3312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2019
Last Update Date : 08/14/2019

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