Most Relevant Information
Provider Data
| NPI Number: | 1003570573 |
| Provider Name: | KAYLA GRAVES LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 172598 |
Most Important Dates
| Enumeration Date: | 10/29/2021 |
| Last Updated: | 11/06/2021 |
Provider Practice Location
33625 STATE ROUTE 683
MC ARTHUR
OH
456518655
Practice Location Phone/Fax
| Phone: | 7404189886 |
| Fax: |
Provider Mailing Location
33625 STATE ROUTE 683
MC ARTHUR
OH
456518655
Provider Mailing Phone/Fax
| Phone: | 7404189886 |
| Fax: |