Individual
MR. STEVEN R GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6600
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3002010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078073
RN
KY
01
—
3002010
APRN
KY
05
—
74430182
—
KY
Enumeration date
05/04/2006
Last updated
03/04/2014
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