Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ALLEN GRAHAM, ATC/L
Active Sole ProprietorKEITH ALLEN GRAHAM, ATC/L is a Athletic Trainer healthcare provider located in MALTA, New York. NPI 1447735907 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MALTA, NY
Registration Details
- NPI Number
- 1447735907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2018 (7.9068312414378 yrs)
- Last Updated
- Oct 1, 2018
- Licenses
-
104.0000102 (VT)003760-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 MEDICAL PARK DRIVESUITE 100MALTA, NY, 12020Browse NY providers · Browse ZIP 12020
- Phone
- 5183638710
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in MALTA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KATHERINE HAMEL | MA, LAT, ATC | 1477195063 |
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.