Individual
LESLIE W GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1618 HARRODSBURG RD, LEXINGTON, KY 40504-3706
(859) 288-5004
(859) 288-5007
Mailing address
1618 HARRODSBURG RD, LEXINGTON, KY 40504-3706
(859) 288-5004
(859) 288-5007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5792P
KY
363LF0000X
Family Nurse Practitioner
Primary
3005792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099264
RN
KY
01
—
5792P
ARNP
KY
05
—
7100058640
—
KY
Enumeration date
11/03/2008
Last updated
01/10/2017
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