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Individual

MONICA ANN GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4010 DUPONT CIRCLE, SUITE 565, LOUISVILLE, KY 40207-4888
(502) 895-1611
(502) 895-1633
Mailing address
4010 DUPONT CIRCLE, SUITE 565, LOUISVILLE, KY 40207-4888
(502) 895-1611
(502) 895-1633

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5038P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100042870
KY
Enumeration date
08/07/2007
Last updated
04/16/2014
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