Individual
MRS. NANCY B GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
(606) 528-7010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15702
WV
2084P0800X
Psychiatry Physician
Primary
45464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100229160
—
KY
Enumeration date
11/01/2006
Last updated
04/30/2013
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