Graham, Kelly

Graham, Kelly is an individual health care provider with primary practice located at 400 Lee Blvd , Lehigh Acres FL 33936-6829. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Graham, Kelly can be contacted via phone (239) 369-9986.

Contact Information

Primary practice address
400 Lee Blvd Lehigh Acres FL 33936-6829
Phone: (239) 369-9986
Fax: (239) 368-0986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0023317 Florida

Profile Details

NPI number 1255584603
LBN Legal business name Graham, Kelly
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated May 3rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255584603 NPPES
Florida Other C2140 BLUE CROSS BLUE SHIELD PROVIDER

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