Kevin Eugene Groh, PA-C
Physician Assistant in Antioch, TN. Individual provider (NPI-1).
NPI number1013356757
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1013356757
- Entity type
- Individual (NPI-1)
- Name
- Kevin Eugene Groh
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2013
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3489 | TN | Yes |
| 363A00000X | Physician Assistant | 23034 | CA |
Practice location
5380 Hickory Hollow Pkwy Ste 201Antioch, TN 37013
Phone 615-891-2070 · Fax 615-891-2056
Mailing address
Po Box 22239New York, NY 10087-0001
Phone 702-899-0595 · Fax 702-977-1496
Other practice locations
932 E Baddour Pkwy
Lebanon, TN 37087-3707
Lebanon, TN 37087-3707
Phone 872-231-3162
401 E Carrillo St
Santa Barbara, CA 93101-1460
Santa Barbara, CA 93101-1460
Phone 805-563-3307 · Fax 805-563-0998
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Other Physician Assistant providers in Antioch, TN
- Andrew Brothers, PANPI 1396516274
- Molly Buring, PA-CNPI 1740021690
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- Aimee SerranoNPI 1982524856
- Megynn Marilla Webb, PA-CNPI 1699288001
All 6 Physician Assistant providers in Antioch · All 704 providers in Antioch
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