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Contact Information

KATHLEEN L GROVE, MD
1701 LACEY ST
CAPE GIRARDEAU, MO63701-5230
 Phone: 573-335-0185
 Fax: 573-335-0793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KATHLEEN L GROVE · (Female)

NPI # 1912016064
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 11/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036086294
  • MO License # 2005008372
  • IL Medicaid 036086294
  • MO Medicaid 207336405
  • Other 697359 HEALTHLINK
  • MO Other 105181 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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