Groom, Kevin N

Groom, Kevin N is an individual health care provider with primary practice located at 890 South Palafox Street Suite 300, Pensacola FL 32502. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Groom, Kevin N can be contacted via phone (850) 433-1656.

Contact Information

Primary practice address
890 South Palafox Street Suite 300 Pensacola FL 32502
Phone: (850) 433-1656
Fax: (850) 433-1996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1138 Alabama
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6326 Florida

Profile Details

NPI number 1184717027
LBN Legal business name Groom, Kevin N
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 19th, 2023 - about last year

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 1184717027 NPPES
Alabama Other 510-01535 BCBS OF AL DOTHAN AL
Alabama Other 59033603 BCBS OF AL DOTHAN AL
Alabama Other 54648 BCBS OF AL DOTHAN AL

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