Individual
KIMBERLY MICHELLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11550 COMMON OAKS DR STE 100, RALEIGH, NC 27614-8093
(919) 453-5740
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06141001
AANP CERTIFICATION
—
Enumeration date
07/14/2014
Last updated
08/02/2016
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