NPI 1033968276

Brady Groghan

Practitioner Community Health Worker Ketchikan, AK

Practice location

Address: 2623 Second Ave, Ketchikan, AK 99901-5811
Phone: (907) 617-9615
Mailing address: 721 Stedman St, Ketchikan, AK 99901-6632

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1033968276
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2024
Record last updated: 17 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.