Graham, Kenisha

Graham, Kenisha is an individual health care provider with primary practice located at 1255 Golfview Ave , Bartow FL 33830-6736. 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, Kenisha can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1255 Golfview Ave Bartow FL 33830-6736
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144522871
LBN Legal business name Graham, Kenisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 14 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.

Request for update

Popular Providers