Individual
KRISTIN MICHELE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 BROOKWOOD AVE STE 1, CARLISLE, PA 17015-9576
(717) 249-2424
(717) 249-4534
Mailing address
5 BROOKWOOD AVE STE 1, CARLISLE, PA 17015-9576
(717) 249-2424
(717) 249-4534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056305
PA
363AM0700X
Medical Physician Assistant
OA003099
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103383089
—
PA
Enumeration date
11/08/2013
Last updated
02/06/2023
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