| Kenneth Grier Md Inc | |
|
18564 Us Highway 18 Ste 101-102 Apple Valley CA 92307-2312 | |
| (760) 475-9080 | |
| Not Available |
| Full Name | Kenneth Grier Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18564 Us Highway 18 Ste 101-102, Apple Valley, California |
| Authorized Official Name and Position | Kenneth Grier (PRESIDENT) |
| Authorized Official Contact | 7604759080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Grier Md Inc 12277 Apple Valley Rd # 195 Apple Valley CA 92308-1701 Ph: () - | Kenneth Grier Md Inc 18564 Us Highway 18 Ste 101-102 Apple Valley CA 92307-2312 Ph: (760) 475-9080 |
| NPI Number | 1972109551 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 5092128421 |
|---|---|
| Medicare Enrollment ID | O20210104001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972109551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth H Grier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114235744 PECOS PAC ID: 2769743160 Enrollment ID: I20180227002776 |
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