Provider Demographics
NPI:1194212852
Name:KEIR, GRAHAM
Entity type:Individual
Prefix:
First Name:GRAHAM
Middle Name:
Last Name:KEIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 ARLINGTON BLVD APT 225
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2200
Mailing Address - Country:US
Mailing Address - Phone:215-407-8170
Mailing Address - Fax:
Practice Address - Street 1:1011 ARLINGTON BLVD APT 225
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2200
Practice Address - Country:US
Practice Address - Phone:215-407-8170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program