# DR. KELLY R. GRAZIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821204678
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008921-1 | NY | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C008921-1B | NYS WORKERS' COMPENSATION | NY |
| 01 | — | P010008921 | EXCELLUS BLUE CHOICE | NY |
| 01 | — | P020008921 | EXCELLUS BLUE SHIELD | NY |