Kimberly Grill DO P L C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KIMBERLY GRILL DO P L C

Practice address

5425 Park St N
Suite 5 W
St Petersburg, FL 33709-7062

Phone

(727) 545-4700

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Grill

Title

Owner

Phone

(727) 545-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1992848246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARYLAND FARMS",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PARK ST N",
            "address_2": "SUITE 5 W",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337097062",
            "telephone_number": "727-545-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY GRILL DO P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "GRILL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-545-4700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "56-25888726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyun Sook Kim
• Jennifer Megan Kim, M.D.
• Lindsey Marie Kim
• Patricia Heesoo Kim, MD
• Kimberly Carnall LLC
• April Kimble, ARNP
• Brenda Sue Kinard, M.D.
• Elizabeth Ann Kincade, PH.D.
• Rachel Lianne Kincy, DNP
• Kinder Home Care LLC

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.