Individual provider · Type 1 NPI
Kevin J. Grogan, C-PED
Specialist · Dubuque, IA
NPI number
1477636868
Active
Practice location
3330 Asbury Rd
Dubuque, IA 52002-2900
Fax (563) 557-0073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | NONE (IA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477636868
Kevin J. Grogan, C-PED's National Provider Identifier is 1477636868, issued on Oct 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dubuque, IA. The record was last updated on Jul 9, 2007.