Graham, Alan Daryl

Graham, Alan Daryl is an sole proprietor health care provider with primary practice located at 200 City Hill Dr , London KY 40741-3038. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Graham, Alan Daryl can be contacted via phone (606) 878-6633.

Contact Information

Primary practice address
200 City Hill Dr London KY 40741-3038
Phone: (606) 878-6633
Fax: (606) 878-5883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA249 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 24150 Kentucky

Profile Details

NPI number 1598876328
LBN Legal business name Graham, Alan Daryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 16th, 2011 - about 13 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 1598876328 NPPES
Kentucky MEDICAID 64241508

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