IndividualActive
Brady Groghan
NPI 1033968276 · Community Health Worker · Ketchikan, AK
Provider details
- NPI number
- 1033968276
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2623 Second Ave
Ketchikan, AK 99901-5811
Phone: (907) 617-9615
Approximate (ZIP-level) locationGet directions
Mailing address
721 Stedman St
Ketchikan, AK 99901-6632
Registry dates
- Enumerated
- 2024-05-17
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.