Individual
GRAHAM ROBERT STOCKSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 774-0562
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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