Doctor Name: | KEVIN GRAFF |
NPI Number: | 1245204163 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS ATC |
License Number: | 0270 |
Business Practice Address: | 3921 W Baseline Rd Laveen, AZ - 853391801 |
Business Phone Number: | 6027644096 |
Business Fax Number: | 6027644406 |
Mailing Address: | 4914 W Gwen St, LAVEEN |
State: | AZ |
Postal Code: | 853394202 |
Phone Number: | 6022378222 |
Fax Number: | 6027644406 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |