Graham, Chanel Kenyata

Graham, Chanel Kenyata is an individual health care provider with primary practice located at 7125 Orchard Lake Rd Ste 110 , West Bloomfield MI 48322-3616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Graham, Chanel Kenyata can be contacted via phone (248) 702-6132.

Contact Information

Primary practice address
7125 Orchard Lake Rd Ste 110 West Bloomfield MI 48322-3616
Phone: (248) 702-6132
Fax: (248) 702-6133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704352459 Michigan

Profile Details

NPI number 1790533578
LBN Legal business name Graham, Chanel Kenyata
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2024
Last updated Jul 11th, 2024 - about 2 months 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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