Individual
IRIS KATHRYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2116 S BABCOCK ST, MELBOURNE, FL 32901-5304
(321) 821-4778
Mailing address
2116 S BABCOCK ST, MELBOURNE, FL 32901-5304
(321) 821-4778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106222
FL
Other
Enumeration date
11/07/2011
Last updated
09/12/2025
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