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SAMUEL LEROY GRAHAM
NPI 1932360815
Military Health Care Provider - Independent Duty Corpsman in Kiln, MS

Active since June 23, 2008
14115 FRED AND AL KEY RD, KILN, MS 39556(228) 466-1035(228) 466-8962 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Leroy Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL LEROY GRAHAM (NPI 1932360815) is an individual independent duty corpsman provider in Kiln, Mississippi and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1932360815
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameSAMUEL LEROY GRAHAM
Location Address14115 FRED AND AL KEY RDKiln, MS 39556-8060
Mailing Address14115 Fred And Al Key RdKiln, MS 39556-8060 · (228) 466-1035 · Fax (228) 466-8962
Phone(228) 466-1035
Fax(228) 466-8962
Sole ProprietorYes
Enumeration DateJune 23, 2008
Last NPPES UpdateMarch 16, 2011
✔ NPI 1932360815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Also ListedMilitary HospitalTaxonomy 286500000X
14115 FRED AND AL KEY RD, Kiln, MS 39556
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH JANE HARDEY IDHS
Military Health Care Provider (Independent Duty Corpsman)
14115 FRED AND AL KEY RD
KILN, MS 39556
Hancock County (228) 466-1035
BRANDON WADE SAKSA
Military Health Care Provider
14115 FRED AND AL KEY RD
KILN, MS 39556
Hancock County (228) 466-1035
MR. WILLIAM MATTHEW HILT IDHS
Military Health Care Provider (Independent Duty Corpsman)
14115 FRED AND AL KEY RD
KILN, MS 39556
Hancock County (573) 639-2002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Graham's NPI number?

The NPI number for Samuel Graham is 1932360815. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Samuel Graham located?

Samuel Graham practices at 14115 Fred And Al Key Rd, Kiln, MS 39556. The listed phone number is (228) 466-1035.

What is Samuel Graham's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Samuel Graham was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.