Graham, Kimberly

Graham, Kimberly is an individual health care provider with primary practice located at 3502 9Th St Ste 110 , Lubbock TX 79415-3367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Kimberly can be contacted via phone (806) 762-8461.

Contact Information

Primary practice address
3502 9Th St Ste 110 Lubbock TX 79415-3367
Phone: (806) 762-8461
Fax: (806) 761-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP110475 Texas

Profile Details

NPI number 1982660395
LBN Legal business name Graham, Kimberly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2022 - about 3 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 1982660395 NPPES
Texas MEDICAID 092939002

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