Kevin J Grogan is a Specialist in Dubuque, Iowa. Kevin J Grogan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevin J Grogan is 1477636868. The last update date is 2007-07-09.
Kevin J Grogan's current location address is 3330 Asbury Rd, Dubuque, Iowa. You can contact this provider via phone number 5635571651 and fax number 5635570073. The mailing address for Kevin J Grogan is 3330 Asbury Rd, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Grogan |
|---|---|
| Address | 3330 Asbury Rd, Dubuque, Iowa |
| Phone Number | 5635571651 |
| Fax Number | 5635570073 |
| Sole Proprietor | Y |
| Credentials | C-PED |
NPI Number Detail
| NPI Number | 1477636868 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3330 Asbury Rd |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 520022900 |
| Phone Number | 5635571651 |
| Fax Number | 5635570073 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | NONE |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264473 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin J Grogan by the Centers for Medicare & Medicaid Services?
The Kevin J Grogan has been assigned the NPI (National Provider Identifier) 1477636868 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kevin J Grogan's facilities are geographically located?
The facilities of Kevin J Grogan are physically situated at the following location: 3330 Asbury Rd, Dubuque, IA, 520022900.
What is Kevin J Grogan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin J Grogan is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477636868 to Kevin J Grogan?
The Kevin J Grogan received its 1477636868 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Kevin J Grogan's details last updated?
The information pertaining to the Kevin J Grogan, including its address, specialty, and other details, was most recently updated on 2007-07-09.