Individual
KAHLEB GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE., ML 2010, CINCINNATI, OH 45229
(513) 636-4415
(513) 636-7805
Mailing address
3333 BURNET AVE., ML 2010, CINCINNATI, OH 45229-3026
(513) 636-4415
(513) 636-7805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP02451
RI
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT211479
PA
2084P0800X
Psychiatry Physician
LP02451
RI
2084P0804X
Child & Adolescent Psychiatry Physician
LP02451
RI
Other
Enumeration date
05/24/2012
Last updated
09/29/2020
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