Kathleen Graham
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
1900 N 9th St
Philadelphia
, Pennsylvania 19122
Kathleen Graham
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
1900 N 9th St
Philadelphia
, Pennsylvania 19122
(267) 765-2325
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Kathleen Graham
- 1500 Market St. West Tower Lm 500
- Philadelphia, PA
- Zip : 19102
- Fax : (267) 765-2325
- Phone : (215) 985-2500
Second Address
- Kathleen Graham
- 1900 N 9th St
- Philadelphia, PA
- Zip : 19122
- Fax : (215) 765-6694
- Phone : (215) 765-6690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | SP019911 | PA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | AP60690424 | WA |
National Provider Identifier
| NPI | 1043760200 |
|---|---|
| Provider Name | Kathleen Graham |
| First Address | Philadelphia, PA 19102 |
| Second Address | Philadelphia, PA 19122 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2016 |
| Last Update Date | 22/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.