Individual provider · Type 1 NPI

Kennedy Alise Graves

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1003543042 Active

Practice location

615 Irving Schottenstein Dr
Columbus, OH 43210-1069

Mailing address

9739 Troon Ct
Blue Ash, OH 45241-3349

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003543042

Kennedy Alise Graves's National Provider Identifier is 1003543042, issued on Aug 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Aug 1, 2022.