Graham, David S

Graham, David S is an individual health care provider with primary practice located at 811 E Parrish Ave , Owensboro KY 42303-3258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Graham, David S can be contacted via phone (270) 688-2163.

Contact Information

Primary practice address
811 E Parrish Ave Owensboro KY 42303-3258
Fax: (812) 471-6650
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22937 Kentucky

Profile Details

NPI number 1669461794
LBN Legal business name Graham, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 29th, 2013 - about 13 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 1669461794 NPPES
Kentucky MEDICAID 64229370

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