Individual
CAROL ANN GRAHAM
Active
Individual
CAROL ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
36346
KY
207VG0400X
Gynecology Physician
36345
KY
208800000X
Urology Physician
36345
KY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
2014036783
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667083
ANTHEM
KY
01
—
000000798069
ANTHEM - WOMEN'S SPECIALISTS
KY
01
—
142082
SIHO - WS
KY
05
—
200308410
—
IN
01
—
50044196
PASSPORT - WS
KY
05
—
64031370
—
KY
Enumeration date
06/09/2005
Last updated
03/09/2015
Update your record
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