Individual
KATHLEEN LOUISE GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9302 N MERIDIAN ST, SUITE 101, INDIANAPOLIS, IN 46260-1841
(317) 570-7900
(317) 570-2288
Mailing address
6330 CASTLEPLACE DR, SUITE 130, INDIANAPOLIS, IN 46250-1902
(317) 570-7900
(317) 570-2288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104000
—
IN
Enumeration date
12/19/2011
Last updated
08/25/2016
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