KENNETH WAYNE GRAVES

CORPUS CHRISTI, TX
NPI1689642506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
Mr. KENNETH WAYNE GRAVES SFIDC
NAVAL HOSPITAL CORPUS CHRISTI 10651 E STREET
CORPUS CHRISTI, TX 78419-5130
Phone number: 361-961-3125
Mailing Address
Mr. KENNETH WAYNE GRAVES SFIDC
906 RED POLL CIRCLE
CORPUS CHRISTI, TX 78418
Phone number: 361-937-1294