Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LEROY GRAHAM
Active Sole ProprietorSAMUEL LEROY GRAHAM is a Independent Duty Corpsman healthcare provider located in KILN, Mississippi. NPI 1932360815 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · KILN, MS
Registration Details
- NPI Number
- 1932360815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.118997148175 yrs)
- Last Updated
- Mar 16, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
14115 FRED AND AL KEY RDKILN, MS, 395568060Browse MS providers · Browse ZIP 39556
- Phone
- 2284661035
- Fax
- 2284668962
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
- Additional Specialty
- Independent Duty Corpsman
Other Independent Duty Corpsman Providers in KILN, MS
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM MATTHEW HILT | IDHS | 1407091838 |
| ELIZABETH JANE HARDEY | IDHS | 1053082289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.