DR. KIM GRAVES (NPI# 1245200971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245200971 |
| Entity Type | Individual |
| Full Name | DR. KIM GRAVES |
| Credential | M.D. |
| Practice Address |
601 W Mckennon St Clarksville AR 72830-3523 |
| Mailing Address |
Po Box 668 Clarksville AR 72830-0668 |
| Practice Telephone | 4797548384 |
| Practice Fax Number | 4797547141 |
| Mailing Telephone | 4797548384 |
| Mailing Fax Number | 4797547141 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C6829 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AETNA INSURANCE COMPANY | 5306124 | 01 |
| AR | HEALTH PLUS OF MICHIGAN | XX12984 | 01 |
| AR | BLUECROSSBLUESHIELD ARK | 51967 | 01 |
| AR | 112436001 | 05 | |
| AR | QUALCHOICE | 13692000000 | 01 |
| AR | UMWA H&R FUNDS | 0062731 | 01 |
| AR | BLACK LUNG PROGRAM | 020407900 | 01 |
| AR | PALMETTO GBA | 0790780001 | 01 |
| AR | UNITED HEALTHCARE | 2124296 | 01 |
| AR | RAILROAD MEDICARE/PALMETT | 080078696 | 01 |
| AR | HEALTH LINK | 401067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969386 | Kim Graves | Case Manager/Care Coordinator | 525 Metro Pl N Ste 100, Dublin, OH 43017-5343 | 2019-08-29 |
| 1598090458 | Kim Elaine Graves | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-10-12 |
| Street Address |
601 W MCKENNON ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253810 | Clarksville Medical Group, P.a. | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2005-05-31 |
| 1093254294 | Catherine Stephanie Miranda | Nurse Practitioner | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2017-02-21 |
| 1508918467 | Clarksville Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2007-01-18 |
| 1417009374 | Clarksville Medical Group, P.a. | Clinical Medical Laboratory | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2007-01-18 |
| 1578663696 | Sarah M Woodruff | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-09-25 |
| 1164482162 | James Brian Cotner | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-03-24 |
| 1487624896 | John C Dunham | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-26 |
| 1174593446 | Mary Janell Burch | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-26 |
| 1083684740 | Susan Gateley | Nurse Practitioner | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-25 |
| 1770553448 | Lindsey J Prewitt | Internal Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164982443 | Compassion Care Clinic | Family Medicine | 2269 Wilma Rudolph Blvd Ste 106, Clarksville, TN 37040-8416 | 2019-03-22 |
| 1427517986 | Garry Henderson Lovins | Family Medicine | 5914 Perfect Calm Ct, Clarksville, MD 21029-1259 | 2019-03-14 |
| 1962944686 | Urgent Care Hillcrest LLC | Family Medicine | 230 Hillcrest Dr, Clarksville, TN 37043-6520 | 2016-11-11 |
| 1356736854 | John Williams Ross | Family Medicine | 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 | 2015-04-01 |
| 1104253327 | Medical Direct Care, Plc | Family Medicine | 190 Hatcher Lane, Suite B, Clarksville, TN 37040 | 2013-10-02 |
| 1215364633 | America Cares Trust, Inc | Family Medicine | 647 Dunlop Ln Ste 102, Clarksville, TN 37040-5165 | 2013-09-30 |
| 1790055747 | Care for Your Health, Inc | Family Medicine | 12140 Flowing Water Trl, Clarksville, MD 21029-1682 | 2012-01-09 |
| 1790916690 | Patricia Lee Isaacs | Family Medicine | 2051 Clevidence Blvd Ste 1, Clarksville, IN 47129-2278 | 2009-07-27 |
| 1316120280 | Kenneth Lee Hershberger | Family Medicine | 309 Archer Dr, Clarksville, MI 48815-9789 | 2007-12-13 |
| 1003013160 | William P. Grabenstein | Family Medicine | 1822 Memorial Dr, Clarksville, TN 37043-4605 | 2007-06-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.