Individual
KAITLYN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
210 2ND ST, SAINT MARYS, WV 26170-1097
(304) 699-1419
Mailing address
597 SOUTHERN HWY, MINERAL WELLS, WV 26150-1301
(304) 210-5393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2568
WV
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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