Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY FITZGIBBONS GRAHAM
Active Sole ProprietorKELLY FITZGIBBONS GRAHAM is a Midwife healthcare provider located in MAITLAND, Florida. NPI 1720680689 is currently active in the NPPES registry. Verify at CMS.
Midwife · MAITLAND, FL
Registration Details
- NPI Number
- 1720680689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2020 (5.7410143487129 yrs)
- Last Updated
- Nov 14, 2020
- License
-
15010001
- Sole Proprietor
- Yes
Practice Information
- Address
-
1230 HOLLYRIDGE TRLMAITLAND, FL, 327513671Browse FL providers · Browse ZIP 32751
- Phone
- 4075450296
- Primary Specialty
-
Midwife
176B00000X
Other Midwife Providers in MAITLAND, FL
| Name | Credential | NPI |
|---|---|---|
| ELENA ROSA | LM CPM | 1437648649 |
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.