Individual
KATHY D GRUBE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1025 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 922-9136
(478) 923-6846
Mailing address
104 CHEROKEE FOREST TRL, WARNER ROBINS, GA 31088-5446
(478) 929-8029
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN039862NP
GA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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