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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932526100 | NPPES |
| Kentucky | MEDICAID | 130656 | |
| Kentucky | MEDICAID | 2013-041 |
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