Provider Demographics
NPI:1619830601
Name:VAN GROUW, KATE FOX (ND)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:FOX
Last Name:VAN GROUW
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58363 BONANZA DR
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-6208
Mailing Address - Country:US
Mailing Address - Phone:760-568-2598
Mailing Address - Fax:
Practice Address - Street 1:74-830 HWY 111
Practice Address - Street 2:STE 100
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210
Practice Address - Country:US
Practice Address - Phone:760-568-2598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1598175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath