Individual
KEVIN EUGENE GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5380 HICKORY HOLLOW PKWY STE 201, ANTIOCH, TN 37013
(615) 891-2070
(615) 891-2056
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23034
CA
363A00000X
Physician Assistant
Primary
3489
TN
Other
Enumeration date
06/16/2013
Last updated
11/12/2025
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