Individual
KYLE GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 LIVINGSTON DR, GRANVILLE, OH 43023
(567) 224-1330
Mailing address
972 MOUNT VERNON RD, NEWARK, OH 43055-4729
(567) 224-1330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005062
OH
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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