Graves, Alecia Ellen

Graves, Alecia Ellen is an individual health care provider with primary practice located at 4123 Dutchmans Lane Suite 507, Louisville KY 40207-4730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Graves, Alecia Ellen can be contacted via phone (502) 423-9595.

Contact Information

Primary practice address
4123 Dutchmans Lane Suite 507 Louisville KY 40207-4730
Phone: (502) 423-9595
Fax: (502) 719-0161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31847 Kentucky

Profile Details

NPI number 1497749477
LBN Legal business name Graves, Alecia Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jan 19th, 2021 - about 5 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 1497749477 NPPES
Kentucky Other 000057120P HUMANA - WS
Kentucky Other 5002880 HUMANA - WS
Kentucky Other 65925109 HUMANA - WS
Kentucky Other 8382591 HUMANA - WS
Kentucky Other 000000724240 HUMANA - WS
Kentucky Other 1166219 HUMANA - WS
Kentucky Other 50034482 HUMANA - WS
Kentucky Other 1052052 HUMANA - WS
Kentucky Other 127014 HUMANA - WS
Kentucky Other 5581 HUMANA - WS
Kentucky MEDICAID 64318470 HUMANA - WS

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