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NPI Code Detail

MEDICARE: MS. KATHY GRAHAM RN

MEDICARE:  MS. KATHY  GRAHAM  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN105935AZ
2163W00000XRegistered NurseE41964CT
3163W00000XRegistered Nurse757298CA

General Provider Information

NPI Number : 1295968170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHY GRAHAM RN
Provider Business Mailing Address
First Line : 6149 E HILLERY DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-2569
Country : US
Telephone Number : 480-596-5045
Fax Number :
Provider Business Practice Location Address
First Line : 6149 E HILLERY DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-2569
Country : US
Telephone Number : 480-596-5045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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Directions to “ MS. KATHY GRAHAM RN” Practice Location

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