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Mr. Kevin P Groth, DC
Chiropractor in West Salem, Wisconsin
NPI 1255350542

Kevin P Groth is a Chiropractor based in West Salem, WI. Kevin P Groth practices in West Salem, WI and has the professional credentials of DC. The NPI Number for Kevin P Groth is 1255350542 and holds a License No. 4109-012 (Wisconsin).

The current practice location address for Kevin P Groth is 1540 Heritage Blvd, West Salem, WI and can be reached out via phone at 608-786-3670 and via fax at 608-786-3672.

Location: 1540 Heritage Blvd, West Salem, WI, 54669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255350542
Provider Name
Kevin P Groth
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1540 Heritage Blvd, West Salem, WI, 54669
Phone Number
608-786-3670
Fax Number
608-786-3672
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00600195 01 WI MEDICARE RAILROAD
38959600 05 WI
institution
Provider Business Practice Location Address Details
Address
1540 Heritage Blvd
City
West Salem
State
Wisconsin
Zip
54669
Phone Number
608-786-3670
Fax Number
608-786-3672
person
Provider Business Mailing Address Details
Address
1540 Heritage Blvd
City
West Salem
State
Wisconsin
Zip
54669
Phone Number
608-786-3670
Fax Number
608-786-3672
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4109-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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