Graham, Katie

Graham, Katie is an individual health care provider with primary practice located at 4339 Winston Ave , Covington KY 41015-1739. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Graham, Katie can be contacted via phone (859) 835-2573.

Contact Information

Primary practice address
4339 Winston Ave Covington KY 41015-1739
Phone: (859) 835-2573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2013-041 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 130656 Kentucky

Profile Details

NPI number 1932526100
LBN Legal business name Graham, Katie
Credentials MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Apr 6th, 2018 - about 7 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 1932526100 NPPES
Kentucky MEDICAID 130656
Kentucky MEDICAID 2013-041

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