Individual
DR. KIM GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W MCKENNON ST, CLARKSVILLE, AR 72830-3523
(479) 754-8384
(479) 754-7141
Mailing address
PO BOX 668, CLARKSVILLE, AR 72830-0668
(479) 754-8384
(479) 754-7141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6829
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062731
UMWA H&R FUNDS
AR
01
—
020407900
BLACK LUNG PROGRAM
AR
01
—
0790780001
PALMETTO GBA
AR
01
—
080078696
RAILROAD MEDICARE/PALMETT
AR
05
—
112436001
—
AR
01
—
13692000000
QUALCHOICE
AR
01
—
2124296
UNITED HEALTHCARE
AR
01
—
401067
HEALTH LINK
AR
01
—
51967
BLUECROSSBLUESHIELD ARK
AR
01
—
5306124
AETNA INSURANCE COMPANY
AR
01
—
XX12984
HEALTH PLUS OF MICHIGAN
AR
Enumeration date
01/25/2006
Last updated
07/09/2007
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