Graham, Kassidy

Graham, Kassidy is an sole proprietor health care provider with primary practice located at 2049 Skyline Dr , Lemon Grove CA 91945-4221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Graham, Kassidy can be contacted via phone (925) 813-2112.

Contact Information

Primary practice address
2049 Skyline Dr Lemon Grove CA 91945-4221
Phone: (925) 813-2112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95036390 California

Profile Details

NPI number 1457993461
LBN Legal business name Graham, Kassidy
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2019
Last updated May 21st, 2026 - about 6 months 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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