Individual
KELISTA LOUISE MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.M.S., PA-C
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-4546
Mailing address
2400 NE 65TH ST APT 624, FORT LAUDERDALE, FL 33308-1573
(913) 548-2011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9117885
FL
Other
Enumeration date
01/04/2022
Last updated
03/08/2024
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