Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grapevine Clinic LLC

Organization Family Medicine Physician · NPI 1164731030

Grapevine Clinic LLC is a Family Medicine Physician in Fort Mohave, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5300 S Highway 95 Ste H
Fort Mohave, AZ 86426-9251
Phone: (928) 788-6060
Fax: (928) 788-6062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 28326 (AZ)

Record details

NPI number1164731030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaye Cunningham — Owner/Member · (928) 788-6060
NPI enumeratedSeptember 27, 2010
Last updated in NPPESSeptember 27, 2010
Mailing addressPo Box 8670, Fort Mohave, AZ 86427-8670

Other providers in Fort Mohave