Provider Demographics
NPI:1215321393
Name:GRAEME, KATELYNN (DO)
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:
Last Name:GRAEME
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8404
Mailing Address - Country:US
Mailing Address - Phone:828-712-5679
Mailing Address - Fax:
Practice Address - Street 1:201 FLAT CREEK VILLAGE DR
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-6211
Practice Address - Country:US
Practice Address - Phone:828-645-8525
Practice Address - Fax:828-645-8935
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-02135207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine