Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kimberly Alene Gregg, PA-C

Individual provider Physician Assistant · NPI 1922172121

Miss. Kimberly Alene Gregg, PA-C is a Physician Assistant in Providence, Rhode Island. Licensed in New Jersey and Rhode Island. Registered with an NPI since 2006.

Licensed in
NJ, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (973) 676-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00463 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00163000 (NJ)

Record details

NPI number1922172121
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 22, 2011

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