Graham, Kelly
Graham, Kelly is an individual health care provider with primary practice located at 9601 165Th St Suite 6, Orland Park IL 60467-5660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graham, Kelly can be contacted via phone (708) 539-8002.Contact Information
Primary practice address
9601 165Th St Suite 6
Orland Park IL 60467-5660
Phone: (708) 539-8002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 71006989 | Illinois |
Profile Details
| NPI number | 1144397001 |
|---|---|
| LBN Legal business name | Graham, Kelly |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1144397001 | NPPES |
| Illinois | MEDICAID | 71006989 |
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