Individual
MR. KEVIN FRANKLIN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP.BC-HIS
Contact information
Practice address
801-B BROADWAY, VAN BUREN, AR 72956
(479) 471-6807
(479) 471-6879
Mailing address
801-B BROADWAY, VAN BUREN, AR 72956
(479) 471-6807
(479) 471-6879
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
#591
AR
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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