Individual
MRS. KIM ELAINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA10992NP
OH
363LA2100X
Acute Care Nurse Practitioner
COA10992NP
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.11519
OH
367500000X
Certified Registered Nurse Anesthetist
COA11519NA
OH
Other
Enumeration date
10/12/2009
Last updated
09/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us