Kimberly Grady in Jbsa Lackland - General Practice
Kimberly Grady - NPI 1154310647
Kimberly Grady is a General Practice in Jbsa Lackland, Texas. Kimberly Grady practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kimberly Grady is 1154310647. The last update date is 2021-01-27.
Kimberly Grady's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 2105398239. The mailing address for Kimberly Grady is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Grady |
|---|---|
| Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Phone Number | 2105398239 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154310647 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2021-01-27 |
Provider Mailing Address Detail
| Address | 1100 Wilford Hall Loop Bldg 4554 |
|---|---|
| City | Jbsa Lackland |
| State | Texas (TX) |
| Post Code | 782365638 |
| Phone Number | 2105398239 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19560 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Kimberly Grady by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Grady has been assigned the NPI (National Provider Identifier) 1154310647. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kimberly Grady's facilities are situated?
The facilities of Kimberly Grady are physically located at the following address: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 782365638.
What is the Kimberly Grady's area of specialization and corresponding taxonomy classification?
The Kimberly Grady's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1154310647 to Kimberly Grady?
The Kimberly Grady received its 1154310647 assignment from the Centers for Medicare & Medicaid Services on 2005-10-18.
When was the Kimberly Grady's information last updated?
The Kimberly Grady's information was last updated on 2021-01-27.
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