Mrs Kylee Laine Graham, NP is a
Nurse Practitioner - Family based in Roland, Oklahoma. Mrs Kylee Laine Graham is licensed to practice in Oklahoma (license number 205132) and her current practice location is
117 E Ray Fine Blvd, Roland, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 427-3344.
NPI number for Mrs Kylee Laine Graham is 1114804010 and her current mailing address is 452972 E 980 Rd, Vian, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114804010.
Provider's Profile
Full Name | Mrs Kylee Laine Graham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 117 E Ray Fine Blvd, Roland, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114804010
- Provider Enumeration Date: 08/20/2025
- Last Update Date: 08/24/2025
Medical Identifiers
Medical identifiers for Mrs Kylee Laine Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114804010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 205132 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kylee Laine Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kylee Laine Graham, NP 452972 E 980 Rd, Vian, OK 74962-5280 Ph: (918) 705-1647 | Mrs Kylee Laine Graham, NP 117 E Ray Fine Blvd, Roland, OK 74954-5427 Ph: (918) 427-3344 |
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