# REBECCA GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245211846
- **Gender:** F
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 103674 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 528059 | KS | — |
| 207V00000X | Obstetrics & Gynecology Physician | 5743 | OK | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 11/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100330060D | — | KS |
| 01 | — | 1245211846 | COVENTRY | — |
| 01 | — | 2089570 | UNITED HEALTH CARE | — |
| 01 | — | 29241057 | BCBS | — |
| 01 | — | 5135654 | AETNA | — |
| 01 | — | 9181474 | CIGNA | — |