Individual
KATHARINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 OLD LANCASTER RD, STE 105N, BRYN MAWR, PA 19010-3118
(610) 527-1165
(610) 527-6611
Mailing address
830 OLD LANCASTER RD, STE 105N, BRYN MAWR, PA 19010-3118
(610) 527-1165
(610) 527-6611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA0014121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA0014121
MEDICAL LICENSE
PA
Enumeration date
01/20/2009
Last updated
01/20/2009
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