- Practice location
- 3100 E Fletcher Ave, Tampa, FL 33613-4613
- Phone
- 407-303-7283
- Fax
- 407-303-0473
- Last updated
- February 27, 2024
Kylee Samantha Graham is a Physician Assistant based in Tampa, FL. Kylee Samantha Graham practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Kylee Samantha Graham is 1548966633 and holds a License No. PA9118359 (FL). The current practice location address for Kylee Samantha Graham is 3100 E Fletcher Ave, Tampa, FL 33613-4613 and can be reached out via phone at 407-303-7283 and via fax at 407-303-0473.
Provider Profile Details
- NPI Number
- 1548966633
- Provider Name
- Kylee Samantha Graham
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3100 E Fletcher Ave, Tampa, FL 33613-4613
- Phone Number
- 407-303-7283
- Fax Number
- 407-303-0473
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2023
- Last Update Date
- February 27, 2024
- Certification Date
- February 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - City
- Tampa
- State
- Florida
- Zip
- 33613-4613
- Phone Number
- 407-303-7283
- Fax Number
- 407-303-0473
Provider Business Mailing Address Details
- Address
- 5 Pierce Cir
Paxton, MA 01612-1078 - City
- Paxton
- State
- MA
- Zip
- 01612-1078
License Information
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA9118359
- License State (2)
- FL
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kylee S Graham, PA-C?
The NPI number of Kylee S Graham, PA-C is 1548966633. It was assigned on February 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Kylee S Graham, PA-C?
Kylee S Graham, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9118359.
Where does Kylee S Graham, PA-C practice?
The practice location is 3100 E Fletcher Ave, Tampa, FL 33613-4613. The office can be reached at 407-303-7283 (phone) or 407-303-0473 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548966633 directly on the NPPES registry website.