| Doctor Name: | BAEDA HODGES GRIMSLEY |
| NPI Number: | 1003259961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007960 |
| Business Practice Address: | 140 Whittington Pkwy Suite 100 Louisville, KY - 402224930 |
| Business Phone Number: | 5023279100 |
| Business Fax Number: | |
| Mailing Address: | 465 Elmore Hodges Rd, GREENSBURG |
| State: | KY |
| Postal Code: | 427438926 |
| Phone Number: | 2709321524 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2013 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007960 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |