Individual
KIRBY LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5360 LINCOLN HWY STE 15, GAP, PA 17527-9461
(717) 442-8111
Mailing address
314 SUNSET AVE, STRASBURG, PA 17579-1012
(717) 682-3012
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062823
PA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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