Individual
DELACEY GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 BISHOP LN, ELIZABETHTOWN, KY 42701-9266
(270) 234-0003
(270) 360-0840
Mailing address
660 WESTPORT RD APT 8A, ELIZABETHTOWN, KY 42701-2801
(270) 401-9847
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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