Individual
SARA BROOKE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 CROSSRIDGE LN, SCOTTSVILLE, KY 42164-8377
(270) 606-1003
Mailing address
169 CROSSRIDGE LN, SCOTTSVILLE, KY 42164-8377
(270) 606-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
420955
KY
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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