Kelly Graham, PA-C, PTA

Individual Active
NPI 1780031625
Medical Physician Assistant Orlando, FL

Kelly Graham, PA-C, PTA holds NPI 1780031625, with a primary taxonomy of medical physician assistant and a practice location in Orlando, FL. The number was issued on May 20, 2016 and the NPPES record was last updated on August 26, 2020. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA112573 (FL)
Physical Therapy Assistant 225200000X 26641 (FL)
Physician Assistant 363A00000X 9112573 (FL)

Practice location

1222 S Orange Ave
Orlando, FL 32806-1215
Phone: (321) 841-6444

Local context

Active NPPES records list 458 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 303 of them within 10 miles.

The same primary taxonomy is listed by 2,879 in Florida and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Kelly Ann Graham
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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