Provider Demographics
NPI:1508060294
Name:GRAHAM, KAREN ANN (RD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7061 E MCDONALD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-5328
Mailing Address - Country:US
Mailing Address - Phone:480-659-0748
Mailing Address - Fax:480-699-8937
Practice Address - Street 1:7061 E MCDONALD DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-5328
Practice Address - Country:US
Practice Address - Phone:480-659-0748
Practice Address - Fax:480-699-8937
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered