Most Relevant Information
Provider Data
| NPI Number: | 1003591256 |
| Provider Name: | KAANN A GRAHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 177 |
Most Important Dates
| Enumeration Date: | 06/15/2023 |
| Last Updated: | 10/18/2023 |
Provider Practice Location
423 N MCLEAN BLVD
WICHITA
KS
672035964
Practice Location Phone/Fax
| Phone: | 3166181252 |
| Fax: | 3168692277 |
Provider Mailing Location
423 N MCLEAN BLVD
WICHITA
KS
672035964
Provider Mailing Phone/Fax
| Phone: | 3166181252 |
| Fax: | 3166181252 |