Basic Information
| Provider Information | |||||||||
| NPI: | 1649236373 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAVES | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | WAY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 AMHERST AVE | ||||||||
| Address2: | STE A | ||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665033046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855938700 | ||||||||
| FaxNumber: | 7857769788 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 AMHERST AVE | ||||||||
| Address2: | |||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665033003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855938700 | ||||||||
| FaxNumber: | 7857769788 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2006 | ||||||||
| LastUpdateDate: | 11/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0530890 | KS | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.