Individual
KYLA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 WINCHESTER AVE, MARTINSBURG, WV 25401-1683
(681) 247-2281
(304) 212-0627
Mailing address
200 ASSOCIATION DR STE 130, CHARLESTON, WV 25311-1277
(304) 988-4200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/06/2023
Last updated
03/21/2024
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