Individual
DR. KENNETH ERIC DE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., DABCO
Contact information
Practice address
1401 SILVERSIDE RD, SUITE 1, WILMINGTON, DE 19810-4400
(302) 475-5600
(302) 475-5940
Mailing address
1401 SILVERSIDE RD, SUITE 1, WILMINGTON, DE 19810-4400
(302) 475-5600
(302) 475-5940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F10000191
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001073718
—
DE
01
—
2279331000
AMERIHEALTH
DE
Enumeration date
11/22/2006
Last updated
09/04/2012
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