Individual
DANIEL L GRIPSHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
503 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
Mailing address
PO BOX 17277, COVINGTON, KY 41017-0277
(859) 426-7800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249594
ANTHEM
KY
01
—
1199659
CHA
KY
01
—
294319000
MAGELLAN
KY
01
—
680015873
MEDICARE RAILROAD
KY
05
—
89000640
—
KY
01
—
CK6701
RAILROAD MEDICARE
KY
Enumeration date
11/19/2005
Last updated
05/19/2008
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