Mr. Kevin P Groth is a West Salem, Wisconsin based male chiropractor with 22 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 2002. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Kevin P Groth as General Chiropractor is 4109-012 in Wisconsin. Mr. Kevin P Groth is qualified as 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.
Complete Profile:
Mr. Kevin P Groth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
22+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1540 Heritage Blvd, Suite 203, West Salem, Wisconsin, 54669
Phone:
608-786-3670
Fax:
608-786-3672
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042257800
Enrollment ID:
I20050413000344
NPI Number:
1255350542
NPI Enumeration Date:
18 Jul, 2006
NPI Last Update On:
14 Oct, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kevin P Groth are as mentioned below.
License Number
Specialization
State
Status
4109-012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kevin P Groth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00600195
Other
Wisconsin
MEDICARE RAILROAD
38959600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1540 Heritage Blvd., Suite 203, West Salem, Wisconsin
Zip:
54669
Phone Number:
608-786-3670
Fax Number:
608-786-3672
Patients can reach Mr. Kevin P Groth at 1540 Heritage Blvd, Suite 203, West Salem, Wisconsin or can call to book an appointment on 608-786-3670. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.