IndividualActive
Kenneth Graham, MD
NPI 1720069875 · Pediatrics Physician · Kalispell, MT
Provider details
- NPI number
- 1720069875
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 8169 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1273 Burns Way
Kalispell, MT 59901-3109
Phone: (406) 752-8300
Fax: (406) 752-3542
Approximate (ZIP-level) locationGet directions
Mailing address
1273 Burns Way
Kalispell, MT 59901-3109
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2023-11-27
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.