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Kevin J Grogan, C-PED
Specialist in Dubuque, Iowa
NPI 1477636868

Kevin J Grogan is a Specialist based in Dubuque, IA. Kevin J Grogan practices in Dubuque, IA and has the professional credentials of C-PED. The NPI Number for Kevin J Grogan is 1477636868 and holds a License No. NONE (Iowa).

The current practice location address for Kevin J Grogan is 3330 Asbury Rd, Dubuque, IA and can be reached out via phone at 563-557-1651 and via fax at 563-557-0073.

Location: 3330 Asbury Rd, Dubuque, IA, 52002-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477636868
Provider Name
Kevin J Grogan
Credential
C-PED
Provider Entity Type
Individual
Gender
Male
Address
3330 Asbury Rd, Dubuque, IA, 52002-2900
Phone Number
563-557-1651
Fax Number
563-557-0073
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0264473 05 IA
institution
Provider Business Practice Location Address Details
Address
3330 Asbury Rd
City
Dubuque
State
Iowa
Zip
52002-2900
Phone Number
563-557-1651
Fax Number
563-557-0073
person
Provider Business Mailing Address Details
Address
3330 Asbury Rd
City
Dubuque
State
Iowa
Zip
52002-2900
Phone Number
563-557-1651
Fax Number
563-557-0073
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
NONE (Iowa)
Definition
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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