Individual
MATTHEW KENY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7280
Mailing address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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