Individual
DR. KENNETH R, GRAHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3764
(203) 621-3701
Mailing address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3764
(203) 621-3701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
046639
CT
Other
Enumeration date
12/28/2006
Last updated
01/25/2016
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