Individual
DR. GRAHAM DEAN ENGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1698 OLD LEBANON RD, SUITE 2A, CAMPBELLSVILLE, KY 42718-9662
(270) 789-0587
Mailing address
1698 OLD LEBANON RD, SUITE 2A, CAMPBELLSVILLE, KY 42718-9662
(270) 789-0587
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
43043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000634978
ANTHEM BLUECROSS
KY
05
—
7100089320
—
KY
Enumeration date
03/21/2007
Last updated
12/04/2020
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