Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720069875 Individual Practitioner Male Practitioner

Dr. Kenneth J Graham , MD

Pediatrics • Kalispell, MT

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Graham, MD is a registered healthcare professional specializing in Pediatrics in Kalispell, MT. Practice services are available at 1273 BURNS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1273 Burns Way

Kalispell, MT 599013109

Telephone 4067528300
Fax 4067523542
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kalispell, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Kalispell, MT (165 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

CMS Verified: 2020-06-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MT 8169

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0100572 (MT)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Heather Riley , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043966120

CPNPPC

Dr. Jenna Upham , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1073092292

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

NPI 1285654020

Doctor of Medicine (M.D.)

Valerie Beebe , APRN, BC

Nurse Practitioner - Family

NPI 1306866157

Advanced Practice Registered Nurse, BC

NPI 1508181454

Doctor of Medicine (M.D.)

NPI 1659474666

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2017

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: (406) 752-8300)

📍
Updated Business Mailing Address August 22, 2017

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: (406) 752-8300)

👤
Provider Name / Credentials Updated August 22, 2017

Recorded as KENNETH GRAHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2017

Pediatrics (License #8169 in MT)

NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2013

Registered at 210 SUNNYVIEW LN, SUITE 103, KALISPELL, MT 599013135 (Tel: 4067528300)

📍
Updated Business Mailing Address February 12, 2013

Registered at 210 SUNNYVIEW LN, SUITE 103, KALISPELL, MT 599013135 (Tel: 4067528300)

👤
Provider Name / Credentials Updated February 12, 2013

Recorded as KENNETH GRAHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Pediatrics (License #8169 in MT)

🟢
Initial NPI Registration & Enumeration November 07, 2005

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: 1720069875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

1273 Burns Way

Kalispell, MT 599013109

Phone: 4067528300

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.