Individual
KENDRA MAE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2101 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 428-2622
(360) 428-3941
Mailing address
2101 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 428-2622
(360) 428-3941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61085104
WA
363AM0700X
Medical Physician Assistant
Primary
PA60185104
WA
Other
Enumeration date
06/25/2020
Last updated
03/24/2023
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