Provider Demographics
NPI:1679921779
Name:GRAVEN, KELSEY R (DO)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:R
Last Name:GRAVEN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:4600 LAKE BOONE TR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-420-2027
Mailing Address - Fax:919-571-8135
Practice Address - Street 1:4600 LAKE BOONE TR
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-420-2027
Practice Address - Fax:919-571-8135
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2024-10-16
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Provider Licenses
StateLicense IDTaxonomies
NC202101872207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology