KEVIN GRAHAM NPI 1245687136

NPI Information

NPI: 1245687136
Provider Name: KEVIN GRAHAM
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13520 NE 1ST AVE
MIAMI, FL
ZIP 33161
Phone: (305) 607-7217
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Kevin Graham is a family nurse practitioner in Miami, FL. Kevin Graham NPI is 1245687136. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13520 NE 1ST AVE
MIAMI, FL
ZIP 33161-718
Phone: (305) 607-7217

The NPI 1245687136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 3/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN9383158	FLORIDA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		RN 9383158	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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