| Doctor Name: | DR. RODNEY ALLAN GRAVES |
| NPI Number: | 1033169925 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | PO 00000758 |
| Business Practice Address: | 1100 Goethals Drive 2nd Floor Kadlec Clinic Foot & Ankle Richland, WA - 993523304 |
| Business Phone Number: | 5099423627 |
| Business Fax Number: | |
| Mailing Address: | 3900 S Zintel Way, KENNEWICK |
| State: | WA |
| Postal Code: | 993375092 |
| Phone Number: | 5099423627 |
| Fax Number: | 5099422268 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO 00000758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |