Kerry Graham

Licensed Practical Nurse · Wyoming, MI

Individual Active NPI

NPI number 1790277184

Practice location

1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone
(616) 466-8012

Open in Google Maps

NPI record

NPI
1790277184
Entity type
Individual (Type 1)
Enumeration date
June 1, 2018
Last updated
June 1, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 4703105730 PA

Mailing address

1814 Woodward Ave
Kalamazoo, MI 49007-1764

About Kerry Graham

Kerry Graham is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1853 R W Berends Dr SW, Wyoming, MI 49519-4955. The NPI number 1790277184 was assigned on June 1, 2018 and the record was last updated on June 1, 2018.

Kerry Graham lists a license in the registry: #4703105730 (PA) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kerry Graham?

The NPI number is 1790277184.

What is the phone number of Kerry Graham?

The phone number listed for the practice location is (616) 466-8012.

Where is Kerry Graham located?

1853 R W Berends Dr SW, Wyoming, MI 49519-4955.

What is the taxonomy code for Kerry Graham?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Licensed Practical Nurse providers in Wyoming

All Licensed Practical Nurse providers in Wyoming, MI →