NPI 1932360815

Samuel Leroy Graham

Practitioner Independent Duty Corpsman Kiln, MS

Practice location

Address: 14115 Fred and Al Key Rd, Kiln, MS 39556-8060
Phone: (228) 466-1035
Fax: (228) 466-8962

Registered specialties (2)

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Mississippi →

Military Hospital

Hospitals Taxonomy 286500000X

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Registry record

NPI: 1932360815
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2008
Record last updated: 16 Mar 2011

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.