Individual
MRS. KYLEE LAINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 E RAY FINE BLVD, ROLAND, OK 74954-5427
(918) 427-3344
Mailing address
452972 E 980 RD, VIAN, OK 74962-5280
(918) 705-1647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205132
OK
Other
Enumeration date
08/20/2025
Last updated
08/24/2025
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