Healthcare Provider Details

I. General information

NPI: 1861403503
Provider Name (Legal Business Name): VICTORIA C. GRAFF AU D ABA CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 KEITHSHIRE WAY SUITE 101 SUITE B- 85
LEXINGTON KY
40503-3486
US

IV. Provider business mailing address

2060 NORBORNE DRIVE
LEXINGTON KY
40502-2656
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-4327
  • Fax: 859-309-3010
Mailing address:
  • Phone: 859-276-4327
  • Fax: 859-309-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number201
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number591
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: