Individual
KAY L GROTHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNS
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN 21-15-7150
OH
363L00000X
Nurse Practitioner
Primary
APRNCNS01900
OH
Other
Enumeration date
02/18/2006
Last updated
02/15/2018
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