Individual
ZACHARY JOHN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1686
(859) 341-3114
(859) 578-2156
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3114
(859) 578-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57217
KY
Other
Enumeration date
03/19/2019
Last updated
06/27/2023
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