Individual
DR. STEPHEN LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 MOSER RD, LOUISVILLE, KY 40223-3113
(502) 245-9999
(502) 244-9784
Mailing address
205 MOSER RD, LOUISVILLE, KY 40223-3113
(502) 245-9999
(502) 244-9784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002116A
IN
111N00000X
Chiropractor
Primary
4058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049816
ANTHEM
IN
05
—
1159228
—
IN
01
—
203563048
CIGNA
IN
Enumeration date
03/09/2006
Last updated
06/20/2012
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