Individual provider · Type 1 NPI

Kenneth Justin Grover, PA

Physician Assistant · Boise, ID

NPI number 1689393654 Active

Practice location

620 W Hays St
Boise, ID 83702-5511

Fax (208) 381-1791

Mailing address

PO Box 1616
Evansville, IN 47706-0018

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689393654

Kenneth Justin Grover, PA's National Provider Identifier is 1689393654, issued on Aug 24, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Sep 7, 2023.