IndividualActive
Kirby Graham, PA-C
NPI 1861164907 · Medical Physician Assistant · Gap, PA
Provider details
- NPI number
- 1861164907
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA062823 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5360 Lincoln Hwy Ste 15
Gap, PA 17527-9461
Phone: (717) 442-8111
Approximate (ZIP-level) locationGet directions
Mailing address
314 Sunset Ave
Strasburg, PA 17579-1012
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2021-09-28
- Certified
- 2021-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.