Individual
KIM GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-7580
(978) 283-0456
Mailing address
9 OLD JACOBS RD, GEORGETOWN, MA 01833-1009
(978) 352-7540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
168831
MA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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