Mcgraw, Kelly L
Mcgraw, Kelly L is an sole proprietor health care provider with primary practice located at 9700 Park Plaza Ave Suite 106, Louisville KY 40241-2236. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mcgraw, Kelly L can be contacted via phone (502) 429-5431.Contact Information
Primary practice address
9700 Park Plaza Ave Suite 106
Louisville KY 40241-2236
Phone: (502) 429-5431
Fax: (502) 429-5495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6046 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1322 | Kentucky |
Profile Details
| NPI number | 1639128119 |
|---|---|
| LBN Legal business name | Mcgraw, Kelly L |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1639128119 | NPPES |
| Other | 000000490468 | ANTHEM BCBS |
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