Individual
KIMBERLY A GROPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75 HOLLY HILL LN, GREENWICH, CT 06830-6098
(203) 869-6960
(203) 869-5103
Mailing address
75 HOLLY HILL LN, GREENWICH, CT 06830-6098
(203) 869-6960
(203) 869-5103
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
001693
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188828
—
CT
01
—
D400001380
MEDICARE - UNSPECIFIED
CT
Enumeration date
05/23/2005
Last updated
11/25/2009
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