Graham, Kallie Renee

Graham, Kallie Renee is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Graham, Kallie Renee can be contacted via phone (612) 873-2955.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 6255 Minnesota

Profile Details

NPI number 1972078632
LBN Legal business name Graham, Kallie Renee
Credentials APRN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Jun 25th, 2021 - about 3 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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