Kevin Groustra, M.S.P.T

NPI 1316128499 · on the registry since 2007

Practice

Address: 9601 Interstate 630
Exit 7
Little Rock, AR 72205
Phone: (501) 202-2685
Fax: (501) 202-2003
Organisation at this address: Pediatrix Medical Group Of Arkansas Pa
Select Specialty Hospital - Little Rock/Bmc Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas