Individual
KIM M GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
104 EAGLEBROOK CT, VENETIA, PA 15367-1378
(724) 941-5610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN572674
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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