Grove, Kathleen Louise
Grove, Kathleen Louise is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Grove, Kathleen Louise can be contacted via phone (573) 335-0185.Contact Information
Primary practice address
1701 Lacey St
Cape Girardeau MO 63701-5230
Phone: (573) 335-0185
Fax: (573) 335-0793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036086294 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 2005008372 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2005008372 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2005008372 | Missouri |
Profile Details
| NPI number | 1912016064 |
|---|---|
| LBN Legal business name | Grove, Kathleen Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 24th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912016064 | NPPES |
| Other | 697359 | HEALTHLINK | |
| Other | 105181 | HEALTHLINK | |
| MEDICAID | 036086294 | HEALTHLINK | |
| MEDICAID | 207336405 | HEALTHLINK |
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