Individual
DR. KIRSTEN S GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8381 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3830
(703) 760-8110
Mailing address
8381 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3830
(703) 760-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141930
ANTHEM BCBS PROVIDER
VA
Enumeration date
12/18/2006
Last updated
02/14/2019
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