LINDA KELLY GRAVES (NPI# 1225695331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225695331 |
| Entity Type | Individual |
| Full Name | LINDA KELLY GRAVES |
| Credential | NP |
| Practice Address |
625 Clark Ave Ste 17b King of Prussia PA 19406-1438 |
| Mailing Address |
Po Box 13869 Philadelphia PA 19101-3869 |
| Practice Telephone | 2156541544 |
| Practice Fax Number | 2156541543 |
| Mailing Telephone | 6103403530 |
| Mailing Fax Number | 6103370185 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN225600L | PA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | RN225600L | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 735 Fitzwatertown Rd Ste 2, Willow Grove, PA 190901338 | 2159381515 | 2159388756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632395 | Linda G Graves | Pharmacist | 3497 Hwy 72 #85, Pinecliffe, CO 80471-8047 | 2018-09-07 |
| 1558380394 | Linda R. Graves | Social Worker | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-07-19 |
| 1528066610 | Linda M Graves | Physical Medicine & Rehabilitation | 705 Broadway, Paterson, NJ 07514-1425 | 2005-07-12 |
| 1013007269 | Linda B. Graves | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-10-16 |
| Street Address |
625 CLARK AVE STE 17B |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154647956 | Allison Lange | Obstetrics & Gynecology | 625 Clark Ave Ste 17b, King of Prussia, PA 19406-1438 | 2010-04-19 |
| 1043571144 | Jeffrey Thorne | Obstetrics & Gynecology | 625 Clark Ave Ste 17b, King of Prussia, PA 19406-1438 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389208 | Stephanie Heffner | Registered Nurse | 90 Beaver Dr Ste 211d, Du Bois, PA 15801-2449 | 2018-09-12 |
| 1366925695 | Rebecca Wood | Registered Nurse | 807 Turnpike Ave Ste 260, Clearfield, PA 16830-1239 | 2018-09-12 |
| 1770078180 | Catherine Lynch Harrigan | Registered Nurse | 1111 Franklin St Ste 220, Johnstown, PA 15905-4330 | 2018-06-27 |
| 1871083600 | Kimberly Ruth Thomas | Registered Nurse | 25 Church St Fl 3, Wilkes Barre, PA 18702-3507 | 2018-05-17 |
| 1669863619 | Verlee Cunningham | Registered Nurse | 867 W Ingomar Rd, Pittsburgh, PA 15237-4304 | 2015-02-12 |
| 1457562936 | Sandra L Cohen | Registered Nurse | 6837 Germantown Ave, Philadelphia, PA 19119 | 2007-05-25 |
| 1508985268 | Kristen Jenkins | Registered Nurse | 8 Silk Mill Dr, Suite 226, Hawley, PA 18428-1413 | 2007-03-27 |
| 1700957214 | Alice Matukaitis | Registered Nurse | 10 E Independence St, Shamokin, PA 17872-6804 | 2006-11-13 |
| 1457447203 | Robin Gallagher | Registered Nurse | 821 S Main St Ste 4, Old Forge, PA 18518-1497 | 2006-10-05 |
| 1477108348 | Christina Sophia Kimber | Registered Nurse | 100 N Academy Ave, Danville, PA 17822-0001 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
Please comment or provide details below to improve the information on LINDA KELLY GRAVES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.