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Contact Information

KALLIE R GRAHAM, APRN, NNP-BC
701 PARK AVE
MINNEAPOLIS, MN55415-1623
 Phone: 612-873-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KALLIE R GRAHAM · (Female)

NPI Number 1972078632
Status Active
Credentials APRN, NNP-BC
Entity Individual
Enumeration date 10/09/2018
Last updated 06/23/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 6255
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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