Graves, Jeffery R

Graves, Jeffery R is an individual health care provider with primary practice located at 1850 Bluegrass Ave , Louisville KY 40215-1161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Graves, Jeffery R can be contacted via phone (502) 361-6617.

Contact Information

Primary practice address
1850 Bluegrass Ave Louisville KY 40215-1161
Phone: (502) 361-6617
Fax: (502) 361-6637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25884 Kentucky

Profile Details

NPI number 1750321329
LBN Legal business name Graves, Jeffery R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 24th, 2010 - about 15 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 1750321329 NPPES
Kentucky MEDICAID 64258841
Kentucky Other 050069688
Kentucky MEDICAID 200437780

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