MS. KELLY ANN GRAHAM


Address: 1222 S Orange Ave, Orlando, FL 32806-1215
Phone: 3218416444

MS. KELLY ANN GRAHAM (NPI# 1780031625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780031625
Entity Type Individual
Full Name MS. KELLY ANN GRAHAM
Other Name KELLY ANN CAMPBELL
Credential PA-C, PTA
Practice Address 1222 S Orange Ave
Orlando
FL 32806-1215
Practice Telephone 3218416444
Practice Fax Number 4076501307
Mailing Telephone 3218416444
Mailing Fax Number 4076501307
Enumeration Date 2016-05-20
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225200000X Physical Therapy Assistant 26641 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363A00000X Physician Assistant 9112573 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA112573 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 104300400 05

Other Providers KELLY GRAHAM

NPI Name Taxonomy Address Enumeration
1134669682 Kelly Graham Specialist/Technologist 601 Custis Rd, Glenside, PA 19038-2013 2017-03-02
1649446774 Kelly Ann Graham Occupational Therapist 161 Se 5th Ct, Pompano Beach, FL 33060-7164 2008-05-08
1447239629 Kelly Leigh Graham Optometrist 113 N Plaza Ct, Van Buren, AR 72956-2269 2006-01-16
1396258232 Kelly Marie Graham Counselor 2005 Ashland Ave, Toledo, OH 43620-1703 2017-11-14
1720530629 Kelly Graham Nurse Practitioner 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 2016-10-26
1174915862 Kelly Graham Counselor 5648 Friendship Ave, Pittsburgh, PA 15206-3610 2015-03-04
1750783981 Kelly Graham Speech-Language Pathologist 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 2014-09-18
1417369240 Kelly Graham Massage Therapist 10021 Holman Rd Nw, Seattle, WA 98177-4920 2014-05-28
1821410309 Kelly Jean Graham Behavioral Analyst 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 2014-01-17
1588093157 Kelly Graham Physician Assistant 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 2013-11-05

Office Location

Street Address 1222 S ORANGE AVE
City ORLANDO
State FL
Zip Code 32806-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376546986 Steven J Hoff Thoracic Surgery (Cardiothoracic Vascular Surgery) 1222 S Orange Ave, Orlando, FL 32806-1215 2005-05-27
1639793623 Mikayla Alexis Ruane Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2020-06-04
1699308536 Bethany Kelley Nurse Practitioner 1222 S Orange Ave, Orlando, FL 32806-1215 2020-02-19
1194364620 Cody Albert Pigon Nurse Practitioner 1222 S Orange Ave, Orlando, FL 32806-1215 2020-01-01
1528600442 Jennie K Ayers Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2019-10-11
1376193458 David Estalilla Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2019-09-19
1437709664 Brannen Allen Davis Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2019-09-19
1386294098 Heidi Lyn Seymour Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2019-09-14
1437703592 Paige Salerno Physician Assistant 1222 S Orange Ave, Orlando, FL 32806-1215 2019-07-27
1174175285 Amanda Kay Graham Registered Nurse 1222 S Orange Ave, Orlando, FL 32806-1215 2019-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710585674 Erika Williams Pharmacist 2715 South Orlando Ave, Orlando, FL 32806 2020-10-13
1013545664 Johanna Yadira Cook Registered Nurse Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 2020-03-30
1396372306 Warren Andrew Williams Student in an Organized Health Care Education/Training Program 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 2020-03-27
1225665433 Astrid Helen Casin Student in an Organized Health Care Education/Training Program 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 2020-03-26
1508404211 Hidden Potential Florida LLC Assistant Behavior Analyst 2857 South Bumby Avenue, Orlando, FL 32806 2019-12-12
1720639883 Cynthia Lee Kling Clinical Nurse Specialist Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 2019-09-20
1033769930 Darleen Ann Williams Clinical Nurse Specialist 52 W. Underwood, Orlando, FL 32806 2019-09-13
1508412644 Trischaday Kimberley Demetrius Nurse Practitioner Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 2019-08-14
1962964809 Ajc Software Inc Prosthetic/Orthotic Supplier 1405 South Orange Avenue Suite 308, Orlando, FL 32806 2019-04-01
1598232852 Sodo Smiles Dentistry, Pa Dentist 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 2018-10-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770054843 Cynthia Marie Mills Physician Assistant 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 2018-12-16
1447751029 Brittney Marie Osterhoudt Physician Assistant 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 2018-02-28
1164934006 Stephanie Carmen Oberweger Physician Assistant 8124 Chianti Dr, Orlando, FL 32836-5311 2017-11-01
1881046407 Chrystal Danielle Fravel Physician Assistant 2609 S Orange Ave, Orlando, FL 32806-4547 2016-07-07
1922498740 Taylor Stetson Physician Assistant 7403 Sugar Bend Dr, Orlando, FL 32819-7215 2015-02-01
1619370103 Emily R Avgeropoulos Physician Assistant 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 2014-09-29
1417357567 Allyson Lee Physician Assistant 3090 Caruso Ct, Orlando, FL 32806-8510 2014-08-26
1386052371 Nancy Callaham Physician Assistant 6953 Cadiz Blvd, Orlando, FL 32819-4713 2014-07-23
1922367010 Quality Care Providers Physician Assistant 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 2012-05-09
1013212067 Rheumatology Associates of Central Fl. Physician Assistant 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 2011-01-24
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Competitor

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City ORLANDO
Zip Code 32806

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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