KEVIN J GROGAN C-PED
NPI 1477636868
Specialist in Dubuque, IA

Active since October 23, 2006
3330 ASBURY RD, DUBUQUE, IA 52002(563) 557-1651(563) 557-0073 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin J Grogan C-ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN J GROGAN C-PED (NPI 1477636868) is an individual specialist in Dubuque, Iowa, licensed in Iowa (NONE) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477636868
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKEVIN J GROGANCredential: C-PED
Location Address3330 ASBURY RDDubuque, IA 52002-2900
Mailing Address3330 Asbury RdDubuque, IA 52002-2900 · (563) 557-1651 · Fax (563) 557-0073
Fax(563) 557-0073
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1477636868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IA · NONE
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3330 ASBURY RD, Dubuque, IA 52002

Other Identifiers 2

Medicare NSC4564020001IA
Medicaid0264473IA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Grogan's NPI number?

The NPI number for Kevin Grogan is 1477636868. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kevin Grogan located?

Kevin Grogan practices at 3330 Asbury Rd, Dubuque, IA 52002. The listed phone number is (563) 557-1651.

What is Kevin Grogan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kevin Grogan was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.