Mcgraw, Kelly L

Mcgraw, Kelly L is an sole proprietor health care provider with primary practice located at 9700 Park Plaza Ave Suite 106, Louisville KY 40241-2236. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mcgraw, Kelly L can be contacted via phone (502) 429-5431.

Contact Information

Primary practice address
9700 Park Plaza Ave Suite 106 Louisville KY 40241-2236
Phone: (502) 429-5431
Fax: (502) 429-5495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6046 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1322 Kentucky

Profile Details

NPI number 1639128119
LBN Legal business name Mcgraw, Kelly L
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639128119 NPPES
Other 000000490468 ANTHEM BCBS

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