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NPI Code Detail

MEDICARE: DR. KAREN WAY GRAVES D.O.

MEDICARE: DR. KAREN WAY GRAVES D.O.
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
1207Q00000XFamily Medicine Physician05-30890KS

General Provider Information

NPI Number : 1649236373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN WAY GRAVES D.O.
Provider Business Mailing Address
First Line : 1325 RESEARCH PARK DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-5000
Country : US
Telephone Number : 785-537-2651
Fax Number :
Provider Business Practice Location Address
First Line : 1325 RESEARCH PARK DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-5000
Country : US
Telephone Number : 785-537-2651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 06/18/2026

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