IndividualActive
Caleb Grove, P.A.
NPI 1700973583 · Medical Physician Assistant · El Dorado, KS
Provider details
- NPI number
- 1700973583
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 15-01144 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
700 W Central Ave Ste 105
El Dorado, KS 67042-2187
Phone: (316) 322-9813
Fax: (316) 322-9806
Approximate (ZIP-level) locationGet directions
Mailing address
720 W Central Ave
El Dorado, KS 67042-2112
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.