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Individual

BARRY GROVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009294
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100352550
KY
01
K132680
MEDICARE
KY
Enumeration date
03/11/2015
Last updated
03/13/2020
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