Kennedy Alise Graves

NPI #1003543042 in Columbus, Ohio

Provider Information

NPI Number: 1003543042
Entity Type: Individual
Name: Kennedy Alise Graves
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 1, 2022
Last Updated: Aug 1, 2022

Practice Location

Address: 615 IRVING SCHOTTENSTEIN DR
City: Columbus
State: Ohio
ZIP Code: 43210-1069
Phone: (614) 293-1634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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