Most Relevant Information
Provider Data
| NPI Number: | 1003313248 |
| Provider Name: | JESSICA GRAVES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2018 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
1530 LONE OAK RD
PADUCAH
KY
420037901
Practice Location Phone/Fax
| Phone: | 2704442444 |
| Fax: |
Provider Mailing Location
1530 LONE OAK RD
PADUCAH
KY
420037900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |