Individual
KALEI SHAE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LAKESHORE DR, HOMEWOOD, AL 35209-6715
(205) 726-2011
Mailing address
80 OLD ROADWAY, CROPWELL, AL 35054-3756
(205) 362-0581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEG836663342
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
08/29/2017
Last updated
08/29/2017
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