Graham, Carol Ann
Graham, Carol Ann is an individual health care provider with primary practice located at 226 S Woods Mill Rd Ste 55W, Chesterfield MO 63017-3662. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Graham, Carol Ann can be contacted via phone (314) 205-6402.Contact Information
Primary practice address
226 S Woods Mill Rd Ste 55W
Chesterfield MO 63017-3662
Phone: (314) 205-6402
Fax: (314) 590-5951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 36345 | Kentucky |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 36345 | Kentucky |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 36346 | Kentucky |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | 2014036783 | Missouri |
Profile Details
| NPI number | 1669476370 |
|---|---|
| LBN Legal business name | Graham, Carol Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 9th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669476370 | NPPES |
| Kentucky | Other | 142082 | SIHO - WS |
| Kentucky | MEDICAID | 200308410 | SIHO - WS |
| Kentucky | Other | 000000798069 | SIHO - WS |
| Kentucky | Other | 000000667083 | SIHO - WS |
| Kentucky | Other | 50044196 | SIHO - WS |
| Kentucky | MEDICAID | 64031370 | SIHO - WS |
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