Individual
GRAHAM WALTER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST STE C114D, LEXINGTON, KY 40536-8908
(859) 257-7618
(859) 257-4060
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35282
SC
2085R0001X
Radiation Oncology Physician
Primary
60454
KY
2085R0203X
Therapeutic Radiology Physician
253883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03122896
—
NY
Enumeration date
07/03/2008
Last updated
03/21/2025
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