Groh, Kevin T

Groh, Kevin T is an individual health care provider with primary practice located at 659 Boulevard St , Dover OH 44622-2026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Groh, Kevin T can be contacted via phone (330) 602-0767.

Contact Information

Primary practice address
659 Boulevard St Dover OH 44622-2026
Phone: (330) 602-0767
Fax: (330) 365-3831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.01744 Ohio

Profile Details

NPI number 1851341788
LBN Legal business name Groh, Kevin T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 9th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851341788 NPPES
Ohio MEDICAID 0754670

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