Individual
JAY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 ALBRIGHT RD, KINGWOOD, WV 26537-1323
(304) 413-5769
Mailing address
215 ALBRIGHT RD, KINGWOOD, WV 26537-1323
(304) 413-5769
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/02/2023
Last updated
10/07/2025
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