Individual
DAVID E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 WEST 151ST, SUITE #105, OLATHE, KS 66061
(913) 782-8487
(913) 782-4634
Mailing address
20375 WEST 151ST, SUITE #105, OLATHE, KS 66061
(913) 782-8487
(913) 782-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0416123
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100144110D
—
KS
Enumeration date
05/17/2006
Last updated
09/07/2011
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