Grotz, Kenneth L

Grotz, Kenneth L is an individual health care provider with primary practice located at 3651 Wheeler Road , Augusta GA 30909. He recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Grotz, Kenneth L can be contacted via phone (706) 651-2369.

Contact Information

Primary practice address
3651 Wheeler Road Augusta GA 30909
Phone: (706) 651-2369
Fax: (706) 651-2364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 037820 Georgia
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 037820 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 037820 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 037820 Georgia
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 037820 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037820 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 037820 Georgia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 037820 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 037820 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 037820 Georgia

Profile Details

NPI number 1063521631
LBN Legal business name Grotz, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 4th, 2007 - about 19 years 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 1063521631 NPPES
Other 4370409 AETNA
MEDICAID G38834 AETNA
Other 1447352778 AETNA
Other 345518 AETNA
MEDICAID 00568235E AETNA
Other 10062882 AETNA

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