National Provider Identifier

Kathleen T. Grimm, M.D.

Kathleen T. Grimm, M.D. is listed in the NPPES registry with a primary specialty of Hospice and Palliative Medicine (Internal Medicine) Physician in Orchard Park, NY and a listed phone number of (716) 662-8510.

NPI 1396709499Orchard Park, NYHospice and Palliative Medicine (Internal Medicine) Physician

Profile Overview

NPI
1396709499
Provider Type
Individual
Primary Specialty
Hospice and Palliative Medicine (Internal Medicine) Physician
Enumeration Date
April 14, 2006
Last Updated
January 07, 2016

Practice Location

  • 3560 N Buffalo St
  • Orchard Park, NY 14127-1934

Phone: (716) 662-8510

Specialties

  • Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X)
  • Internal Medicine Physician (207R00000X)
  • Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1396709499
Entity Type
Individual
Last Name
Grimm
First Name
Kathleen
Middle Name
T.
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
3560 N Buffalo St
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1934
Mailing Country
US
Mailing Phone
(716) 662-8510
Mailing Fax
(716) 662-8574
Practice Street Address
3560 N Buffalo St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1934
Practice Country
US
Practice Phone
(716) 662-8510
Practice Fax
(716) 662-8574
Enumeration Date
April 14, 2006
Last Updated
January 07, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X), Internal Medicine Physician (207R00000X), Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatrics Physician (208000000X)
Other Identifiers
01744283 (NY), 000524676004 (Bc/Bs), 080515000099 (Fidelis), 00010298402 (Univera), 000524676001 (NY, Bc/Bs Of Wny), 000524676005 (Bc/Bs), 051213000027 (Fidelis), 000524676003 (Bc/Bs), 0409065 (Iha), 05092300013 (Fidelis), 00010298401 (NY, Univera)