National Provider Identifier
Kimberly Graham
Kimberly Graham is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (843) 422-5986.
Profile Overview
- NPI
- 1922515253
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 09, 2018
- Last Updated
- January 10, 2020
Practice Location
- 1009 Broadway St
- Elmira, NY 14904-2503
Phone: (843) 422-5986
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1922515253
- Entity Type
- Individual
- Last Name
- Graham
- First Name
- Kimberly
- Mailing Street Address
- 1009 Broadway St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-2503
- Mailing Country
- US
- Mailing Phone
- (843) 422-5986
- Practice Street Address
- 1009 Broadway St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-2503
- Practice Country
- US
- Practice Phone
- (843) 422-5986
- Enumeration Date
- January 09, 2018
- Last Updated
- January 10, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)