Mrs. Kimberly Sue Gravely
Nurse Practitioner
320 Hospital Dr
Martinsville
, Virginia 24112-1900
Mrs. Kimberly Sue Gravely
Nurse Practitioner
320 Hospital Dr
Martinsville
, Virginia 24112-1900
(276) 732-0492
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Kimberly Sue Gravely
- 142 Old Well Rd
- Spencer, VA
- Zip : 24165-3147
- Phone : (276) 732-0492
Second Address
- Mrs. Kimberly Sue Gravely
- 320 Hospital Dr
- Martinsville, VA
- Zip : 24112-1900
- Phone : (276) 666-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024180682 | VA |
National Provider Identifier
| NPI | 1952998858 |
|---|---|
| Provider Name | Mrs. Kimberly Sue Gravely |
| First Address | Spencer, VA 24165-3147 |
| Second Address | Martinsville, VA 24112-1900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2020 |
| Last Update Date | 31/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.