Individual
DR. DOUGLAS W GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6900 HOUSTON RD, STE 17, FLORENCE, KY 41042-4884
(859) 283-1777
(859) 283-1703
Mailing address
6900 HOUSTON RD, STE 17, FLORENCE, KY 41042-4884
(859) 283-1777
(859) 283-1703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4583
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112736
BLUE CROSS
—
01
—
2766DC
HUMANA
—
01
—
4400452
UNITED HEALTHCARE
—
05
—
85000651
—
KY
Enumeration date
03/13/2007
Last updated
08/20/2013
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