Provider Demographics
NPI:1861403503
Name:GRAFF, VICTORIA C (AUD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:C
Last Name:GRAFF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG ROAD SUITE C-212
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-276-4327
Mailing Address - Fax:859-309-3010
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE B- 85
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-276-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY591237700000X
KY201231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0000000312882OtherANTHEM
KY000001220017OtherCHA HEALTH
KY166360073904OtherHUMANA
KY16510OtherBLUEGRASS FAMILY HEALTH
KY611191565OtherUNITED HEALTH CARE
KY7679099OtherAETNA