William R Grimes, ARNP Valid NPI

Individual provider · Family Nurse Practitioner · Owingsville, KY

NPI

1962590364

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

630P (KY)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-11

Last updated

2007-07-08