Individual
KAMALA DAWN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2363 HIGHWAY 135 NW, CORYDON, IN 47112-2153
(812) 738-1294
(812) 738-1660
Mailing address
6310 MEADOW VIEW DR, GEORGETOWN, IN 47122-8707
(812) 923-6306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
26017287A
IN
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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