person
Mr. Caleb W Grove, PA
Medical Physician Assistant in El Dorado, Kansas
NPI 1700973583

Caleb W Grove is a Medical Physician Assistant based in El Dorado, KS and is specialized in Medical. Caleb W Grove practices in El Dorado, KS and has the professional credentials of PA. The NPI Number for Caleb W Grove is 1700973583 and holds a License No. 15-01144 (Kansas).

The current practice location address for Caleb W Grove is 700 W Central Ave Ste 105, El Dorado, KS and can be reached out via phone at 316-322-9813 and via fax at 316-322-9806.

Location: 700 W Central Ave Ste 105, El Dorado, KS, 67042-2112
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Provider Profile Details
NPI Number
1700973583
Provider Name
Caleb W Grove
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
700 W Central Ave Ste 105, El Dorado, KS, 67042-2112
Phone Number
316-322-9813
Fax Number
316-322-9806
Provider Enumeration Date
10/05/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000427308 01 KS BLUE CROSS BLUE SHIELD
200406070D 05 KS
institution
Provider Business Practice Location Address Details
Address
700 W Central Ave Ste 105
City
State
Zip
67042-2187
Phone Number
316-322-9813
Fax Number
316-322-9806
person
Provider Business Mailing Address Details
Address
700 W Central Ave Ste 105
City
State
Zip
67042-2187
Phone Number
316-322-9813
Fax Number
316-322-9806
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
T00782 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15-01144 (Kansas)
Definition
Definition to come...
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