Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY ANN GRAHAM, PA-C, PTA
ActiveMS. KELLY ANN GRAHAM, PA-C, PTA is a Medical Physician Assistant healthcare provider located in ORLANDO, Florida. NPI 1780031625 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ORLANDO, FL
Registration Details
- NPI Number
- 1780031625
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2016 (10.231929752927 yrs)
- Last Updated
- Aug 26, 2020
- Licenses
-
26641 (FL)9112573 (FL)PA112573 (FL)
Practice Information
- Address
-
1222 S ORANGE AVEORLANDO, FL, 328061215Browse FL providers · Browse ZIP 32806
- Phone
- 3218416444
- Fax
- 4076501307
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| MISS MARIZOL FONTANEZ | PA-C | 1801896808 |
| JASON B CARTER | PA | 1487654406 |
| KAREN L. MILLER | P.A. | 1952394991 |
| SHIRLEY J HOM | PA C | 1972598860 |
| MR. ANTHONY PACHECO | PA | 1164418299 |
| KIM A BALOGH | PA | 1487641387 |
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.