Individual
KATHLEEN MEERA GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0451
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN256618
GA
363L00000X
Nurse Practitioner
Primary
RN256618
GA
363LF0000X
Family Nurse Practitioner
RN256618
GA
Other
Enumeration date
04/01/2018
Last updated
01/22/2020
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