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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY GRAHAM

Active Sole Proprietor

KELLY GRAHAM is a Athletic Trainer healthcare provider located in GLENSIDE, Pennsylvania. NPI 1134669682 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GLENSIDE, PA

Registration Details

NPI Number
1134669682
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2017 (9.4411064362132 yrs)
Last Updated
Mar 2, 2017
Sole Proprietor
Yes

Practice Information

Address
601 CUSTIS RD
GLENSIDE, PA, 190382013
Browse PA providers · Browse ZIP 19038
Phone
2159392474
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GLENSIDE, PA

Name Credential NPI
MS. HEATHER MARIE OLEX ATC 1497231088
JOVON PETTY LAT, ATC 1619441912
MS. DANIELLE M DUFFY LAT ATC 1164077574
LEE DEHEER ATC 1124674874
NICOLE HAZLEWOOD 1215638739
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.