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Individual

DR. TERESA KAY GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4905 N INDIAN OAK ST, BEL AIRE, KS 67226-7664
(316) 680-3582
Mailing address
4905 N INDIAN OAK ST, BEL AIRE, KS 67226-7664
(316) 680-3582

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
562
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
562
KANSAS DEPARTMENT OF HEALTH OCCUPATIONS CREDENTIALING NUMBER
KS
Enumeration date
01/27/2025
Last updated
01/27/2025
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