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Kyle Grayham

NPI 1619518743 · on the registry since 2019 · sole proprietor

Practice

Address
3001 May Apple Dr
Harrison, AR 72601
Phone
(870) 321-5339
Clinicians at this address
2

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas