Graham, Cheryl Rae

Graham, Cheryl Rae is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Graham, Cheryl Rae can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 629-5991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3003214 Kentucky

Profile Details

NPI number 1275531733
LBN Legal business name Graham, Cheryl Rae
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 29th, 2022 - about 4 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 1275531733 NPPES
Indiana MEDICAID 201299430
Indiana MEDICAID 78004603

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