Individual
DR. KEVIN ANDREW GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 N 4TH ST, BARLOW, KY 42024-9579
(270) 334-3131
Mailing address
117 S 2ND ST, AUGUSTA, AR 72006-2309
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03661
KY
207Q00000X
Family Medicine Physician
R2853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284330
—
KY
Enumeration date
04/03/2013
Last updated
06/16/2016
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