Kennedy Grovogel
Kennedy Grovogel is a Physician Assistant in Indianapolis, Indiana. Qualified in 2023, 3 years ago. Registered with an NPI since 2024.
- Years since qualifying
- 3
- In the registry since
- 2024
Practice location Address checks out
8433 Harcourt Rd Ste 310Indianapolis, IN 46260-2198
Phone: (317) 338-9393
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1689432312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 7, 2024 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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