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Contact Information

KENNETH J GRAHAM, MD
1273 BURNS WAY
KALISPELL, MT59901-3109
 Phone: 406-752-8300
 Fax: 406-752-3542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KENNETH J GRAHAM · (Male)

NPI # 1720069875
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2005
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 8169
  • MT Medicaid 0100572
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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