Kelly Graham is a Clinical in Orland Park, Illinois. Kelly Graham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Graham is 1144397001. The last update date is 2007-07-08.
Kelly Graham's current location address is 9601 West 165th Street, Orland Park, Illinois. You can contact this provider via phone number 7085398002. The mailing address for Kelly Graham is 9601 West 165th Street, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Graham |
|---|---|
| Address | 9601 West 165th Street, Orland Park, Illinois |
| Phone Number | 7085398002 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1144397001 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9601 West 165th Street |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 60467 |
| Phone Number | 7085398002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006989 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71006989 | IL | -- |
Post Comment/ Review Below
What is the Kelly Graham's 1144397001?
The Kelly Graham's NPI (National Provider Identifier) Number is 1144397001. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kelly Graham's facilities are situated?
The facilities of Kelly Graham are physically located at the following address: 9601 West 165Th Street, Orland Park, IL, 60467.
What is the Kelly Graham's area of specialization and corresponding taxonomy classification?
The Kelly Graham's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1144397001 to Kelly Graham?
The Centers for Medicare & Medicaid Services assigned the 1144397001 to Kelly Graham on 2006-11-29.
When was the information regarding Kelly Graham, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Graham, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.