Grove, Kathy D.

Grove, Kathy D. is an individual health care provider with primary practice located at 500 W Forth St , Odessa, Texas 79761 TX 78215-1137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Grove, Kathy D. can be contacted via phone (432) 640-1184.

Contact Information

Primary practice address
500 W Forth St Odessa, Texas 79761 TX 78215-1137
Phone: (432) 640-1184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60652282 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X L7401 Texas

Profile Details

NPI number 1710912860
LBN Legal business name Grove, Kathy D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 29th, 2021 - about 5 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 1710912860 NPPES
Texas Other 6678943 CIGNA
Texas Other 0097MB CIGNA
Texas MEDICAID 160045404 CIGNA
Texas MEDICAID 160045402 CIGNA
Texas Other 3776353 CIGNA

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