Groustra, Kevin Charles
Groustra, Kevin Charles is an individual health care provider with primary practice located at 9601 Interstate 630 Exit 7, Little Rock AR 72205-7202. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Groustra, Kevin Charles can be contacted via phone (501) 202-2685.Contact Information
Primary practice address
9601 Interstate 630 Exit 7
Little Rock AR 72205-7202
Phone: (501) 202-2685
Fax: (501) 202-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1146 | Arkansas |
Profile Details
| NPI number | 1316128499 |
|---|---|
| LBN Legal business name | Groustra, Kevin Charles |
| Credentials | M.S.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2007 |
| Last updated | Nov 17th, 2007 - about 17 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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