Doctor profile · Federal record
Dr. Kimberly Grant, PA-C
Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Fresno, CA
- NPI 1871569855
- 20 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
6107 N 1St St Ste 103
Fresno, CA 937105460
(559) 432-4963 - Additional location
-
1590 Freedom Blvd, Suite A
Florence, SC 295056040
(843) 629-1791
fax (843) 629-1794 - Additional location
-
1718 Mockingbird Ln
Lakeland, FL 33801
(863) 272-1550
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- May 6, 2020
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (3)
- Florida #9109580 · Tennessee #PA642 · South Carolina #TL1232
- Medicaid
- SC #0576APA
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871569855. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperSurgical, Inc. | 1 | $19.65 |
By nature of payment
Frequently asked questions
What is Dr. Kimberly Grant's medical specialty?
Dr. Kimberly Grant practices Medical Physician Assistant in Fresno, CA.
Where does Dr. Kimberly Grant practice?
Dr. Kimberly Grant practices at 6107 N 1St St Ste 103, Fresno, CA 937105460. Office phone: 5594324963.
What is Dr. Kimberly Grant's NPI?
Dr. Kimberly Grant's National Provider Identifier (NPI) is 1871569855, issued by NPPES.