Individual provider · Type 1 NPI
Kirby Lee Graham, PA-C
Medical Physician Assistant · Gap, PA
NPI number
1861164907
Active
Practice location
5360 Lincoln Hwy Ste 15
Gap, PA 17527-9461
Mailing address
314 Sunset Ave
Strasburg, PA 17579-1012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA062823 (PA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1861164907
Kirby Lee Graham, PA-C's National Provider Identifier is 1861164907, issued on Sep 28, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gap, PA. The record was last updated on Sep 28, 2021.