KELLY GROTT

LAFAYETTE, IN
NPI1801328695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01083529A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MT  MED-RES-LIC-58231)
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: IL  036156733)
207L00000X Anesthesiology
(Licence: IN  11020205A)
Enumeration Date2017-03-30
Last Update Date2023-07-31
Business Address
KELLY GROTT
3001 S CREASY LN STE 100A
LAFAYETTE, IN 47905-5206
Phone number: 765-701-6451
Mailing Address
KELLY GROTT
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800