Individual
RICHARD W GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017
(859) 341-3015
(859) 341-3215
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3015
(859) 341-3215
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20774
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64207749
—
KY
01
—
P00920264
RAILROAD MEDICARE
KY
Enumeration date
08/26/2005
Last updated
09/06/2018
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