Crystal L Grimes in Wichita - Physician Assistant
Crystal L Grimes - NPI 1780641233
Crystal L Grimes is a Physician Assistant in Wichita, Kansas. Crystal L Grimes practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Crystal L Grimes is 1780641233. The last update date is 2022-08-09.
Crystal L Grimes's current location address is 10202 W 13th St N, Wichita, Kansas. You can contact this provider via phone number 3167299100 and fax number 3167299185. The mailing address for Crystal L Grimes is 10202 W 13th St N, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal L Grimes |
|---|---|
| Address | 10202 W 13th St N, Wichita, Kansas |
| Phone Number | 3167299100 |
| Fax Number | 3167299185 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780641233 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2022-08-09 |
Provider Mailing Address Detail
| Address | 10202 W 13th St N |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672124377 |
| Phone Number | 3167299100 |
| Fax Number | 3167299185 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00627 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200003740 A | KS | -- | |
| 3719196 | MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Crystal L Grimes by the Centers for Medicare & Medicaid Services?
The Crystal L Grimes has been issued the NPI (National Provider Identifier) 1780641233. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Crystal L Grimes?
The Crystal L Grimes is situated at 10202 W 13Th St N, in the city of Wichita, state of KS, with the zip code 672124377.
What is the Crystal L Grimes's specialty and taxonomy code?
The Crystal L Grimes's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780641233 to Crystal L Grimes?
The Crystal L Grimes received its 1780641233 assignment from the Centers for Medicare & Medicaid Services on 2006-04-27.
As of what date were the details pertaining to Crystal L Grimes last refreshed?
The information related to the Crystal L Grimes, including its address, specialty, and other relevant details, was last updated on 2022-08-09.