GRACE KLINIC, LLC
NPI 1164969168
Physician Assistant - Medical in Raleigh, NC

Q: What is Grace Klinic, LLC's NPI number?

The NPI number for Grace Klinic, LLC is 1164969168. It was assigned to this organization in the NPPES registry on January 27, 2017.

Q: What is Grace Klinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Grace Klinic, LLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2017

6516 FALLS OF NEUSE RD, 110, RALEIGH, NC 27615(919) 884-6191 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Grace Klinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE KLINIC, LLC (NPI 1164969168) is a healthcare organization registered as a medical in Raleigh, North Carolina and active in the NPI registry since January 2017. The organization lists Eddyson Okhihan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164969168

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameGRACE KLINIC, LLC

Location Address6516 FALLS OF NEUSE RD, 110Raleigh, NC 27615-6847

Mailing Address6516 Falls Of Neuse Rd, 110Raleigh, NC 27615-6847 · (919) 884-6191

Phone(919) 884-6191

Organization SubpartNo

Authorized OfficialEddyson OkhihanCeo · (919) 884-6191

Enumeration DateJanuary 27, 2017

✔ NPI 1164969168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

6516 FALLS OF NEUSE RD, Raleigh, NC 27615

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Klinic, LLC's NPI number?

The NPI number for Grace Klinic, LLC is 1164969168. It was assigned to this organization in the NPPES registry on January 27, 2017.

Where is Grace Klinic, LLC located?

Grace Klinic, LLC is located at 6516 Falls Of Neuse Rd 110, Raleigh, NC 27615. The listed phone number is (919) 884-6191.

What is Grace Klinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Grace Klinic, LLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.