Graham, Kenneth J
Graham, Kenneth J is an individual health care provider with primary practice located at 1273 Burns Way , Kalispell MT 59901-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Graham, Kenneth J can be contacted via phone (406) 752-8300.Contact Information
Primary practice address
1273 Burns Way
Kalispell MT 59901-3109
Phone: (406) 752-8300
Fax: (406) 752-3542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8169 | Montana |
Profile Details
| NPI number | 1720069875 |
|---|---|
| LBN Legal business name | Graham, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Nov 27th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720069875 | NPPES |
| Montana | MEDICAID | 0100572 |
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