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Contact Information

KEVIN L GROOMS, CRNP
5947 HIGHWAY 269
PARRISH, AL35580
 Phone: 205-686-5113
 Fax: 205-686-5145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEVIN L GROOMS · (Male)

NPI # 1841585841
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/17/2011
Last updated 12/07/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1076162
  • AL Medicaid 167059
  • AL Other 511-55403 BLUE CROSS OF ALABAMA
Hospital affiliation(s) Not Available
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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