IndividualActive
Kimberly Gregg, PA-C
NPI 1922172121 · Surgical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1922172121
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00163000 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (973) 676-1000
Approximate (ZIP-level) locationGet directions
Mailing address
60 Ravenswood Ave
Providence, RI 02908-2022
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2011-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.