KANISHA GRAHAM NPI 1639817471

NPI Information

NPI: 1639817471
Provider Name: KANISHA GRAHAM
Classification: Pathology - 247ZC0005X
Entity Type: Individual

Specialization: Clinical Laboratory Director, Non-physician

Address:
6237 PRESIDENTIAL CT STE 140
FORT MYERS, FL
ZIP 33919
Phone: (877) 202-3530
Get Directions

Kanisha Graham is a clinical laboratory director and non-physician pathology in Fort Myers, FL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Kanisha Graham NPI is 1639817471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6237 PRESIDENTIAL CT STE 140
FORT MYERS, FL
ZIP 33919-508
Phone: (877) 202-3530
Fax: (877) 772-5877

The enumeration date for this NPI number is 5/23/2022 and was last updated on 5/23/2022.

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	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician			Yes

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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