Provider Demographics
NPI:1801912969
Name:GROTE, KAREN A (CTRS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:GROTE
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST ELIZABETH MEDICAL CENTER
Mailing Address - Street 2:200 MEDICAL VILLAGE DR
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017
Mailing Address - Country:US
Mailing Address - Phone:859-301-7269
Mailing Address - Fax:
Practice Address - Street 1:ST ELIZABETH MEDICAL CENTER
Practice Address - Street 2:200 MEDICAL VILLAGE DR
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-301-7269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist