Individual
CASSIE L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2716 OLD ROSEBUD RD, SUITE 160, LEXINGTON, KY 40509-8008
(859) 263-7546
(859) 263-2388
Mailing address
2716 OLD ROSEBUD RD, SUITE 160, LEXINGTON, KY 40509-8008
(859) 263-7546
(859) 263-2388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008186
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100472800
—
KY
Enumeration date
10/02/2013
Last updated
12/03/2020
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