Individual
KAITLYN KIBBE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2828 HIGHWAY 31 S STE 111, DECATUR, AL 35603-1538
(334) 363-9153
Mailing address
98 AUTUMN ASHE RD, MADISON, AL 35756-4364
(334) 363-9153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143571
AL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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