Graff, Kenneth S

Graff, Kenneth S is an individual health care provider with primary practice located at 1130 S Hickory St , Melbourne FL 32901-1973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Graff, Kenneth S can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1130 S Hickory St Melbourne FL 32901-1973
Fax: (321) 952-1043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME25384 Florida

Profile Details

NPI number 1720079304
LBN Legal business name Graff, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720079304 NPPES
Florida MEDICAID 038997800
Florida Other 110051317

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