Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790277184 Individual Practitioner Female Practitioner

Kerry Graham

Licensed Practical Nurse • Wyoming, MI

Professional Overview & Biography Verified Profile Summary

Kerry Graham is a registered healthcare professional specializing in Licensed Practical Nurse in Wyoming, MI. Practice services are available at 1853 R W BERENDS DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1853 R W Berends Dr Sw

Wyoming, MI 495194955

Telephone 6164668012

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Wyoming, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Wyoming, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License PA 4703105730

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Julie Chledowski , RN

Registered Nurse

NPI 1346731221

Registered Nurse

Jolynn Holsinger , RN

Registered Nurse

NPI 1437641982

Registered Nurse

Amy Bradley , LPN

Licensed Practical Nurse

NPI 1447840863

Licensed Practical Nurse

Diane Ford

Registered Nurse

NPI 1720570906

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 1853 R W BERENDS DR SW, WYOMING, MI 495194955 (Tel: 6164668012)

📍
Updated Business Mailing Address June 01, 2018

Registered at 1814 WOODWARD AVE, KALAMAZOO, MI 490071764

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as KERRY GRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Licensed Practical Nurse (License #4703105730 in PA)

🟢
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790277184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: June 01, 2018
Sole Proprietor: No

Mailing Address

1814 Woodward Ave

Kalamazoo, MI 490071764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.