Graham, Kimberli

Graham, Kimberli is an sole proprietor health care provider with primary practice located at 1311 N Dixie Hwy , Elizabethtown KY 42701-2621. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Graham, Kimberli can be contacted via phone (270) 769-1304.

Contact Information

Primary practice address
1311 N Dixie Hwy Elizabethtown KY 42701-2621
Phone: (270) 769-1304
Fax: (270) 234-8028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0809 Kentucky

Profile Details

NPI number 1235178575
LBN Legal business name Graham, Kimberli
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 16th, 2014 - about 11 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 1235178575 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 11574917

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