NPI 1164752887

Kaylene Graham, LPN

Practitioner Licensed Practical Nurse Berkley, MI

Practice location

Address: 2766 11 Mile Rd, Berkley, MI 48072-3033
Phone: (248) 542-2424
Mailing address: 2721 Littletell Ave, West Bloomfield, MI 48324-1755

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703101850 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1164752887
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2009
Record last updated: 31 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.