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

Individual provider Medical Physician Assistant · NPI 1871569855

MS. Kimberly Gilliam Grant, PA-C is a Medical Physician Assistant in Fresno, California. Works from 3 locations. Licensed in Florida, South Carolina and Tennessee.

Licensed in
FL, SC, TN
In the registry since
2006
Specialties on file
3
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

6107 N 1st St Ste 103
Fresno, CA 93710-5460
Phone: (559) 432-4963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1718 Mockingbird Ln, Lakeland, FL 33801 — (863) 272-1550
  • 1590 Freedom Blvd, Florence, SC 29505-6040 — (843) 629-1791

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9109580 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA642 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TL1232 (SC)

Record details

NPI number1871569855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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