Provider Demographics
NPI:1144321126
Name:GRAFTON, KIMBERLY PAINTER (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:PAINTER
Last Name:GRAFTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W JUNIPERO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4212
Mailing Address - Country:US
Mailing Address - Phone:805-730-1470
Mailing Address - Fax:
Practice Address - Street 1:520 W JUNIPERO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4212
Practice Address - Country:US
Practice Address - Phone:805-730-1470
Practice Address - Fax:805-730-1473
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69543208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG69543OtherMEDICAL BOARD OF CALIFORNIA