| Doctor Name: | KRISTIN MICHELE GROVER |
| NPI Number: | 1013346196 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | OA003099 |
| Business Practice Address: | 43 West Ridge Pike Limerick, PA - 19468 |
| Business Phone Number: | 6102266200 |
| Business Fax Number: | 6102266201 |
| Mailing Address: | 450 Cresson Blvd. Ste. 110, Premier Immediate Medical Care, Llc OAKES |
| State: | PA |
| Postal Code: | 19456 |
| Phone Number: | 6107286100 |
| Fax Number: | 6107286071 |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA003099 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |