Individual
MARY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
(270) 251-4350
Mailing address
1792 ALYSHEBA WAY STE 150, LEXINGTON, KY 40509-2285
(859) 226-7491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009756
KY
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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