KELLIE GRAHAM PPS
NPI 1376343590
Counselor - School in Antioch, CA
About Kellie Graham Pps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE GRAHAM PPS (NPI 1376343590) is an individual school provider in Antioch, California and active in the NPI registry since March 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kellie Graham's NPI number?
The NPI number for Kellie Graham is 1376343590. It was assigned to this individual provider in the NPPES registry on March 17, 2025.
Where is Kellie Graham located?
Kellie Graham practices at 1711 Mission Dr, Antioch, CA 94509. The listed phone number is (925) 779-7435.
What is Kellie Graham's specialty?
The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.
When was this NPI record last updated?
The NPPES record for Kellie Graham was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kellie Graham, PPS · NPI 1376343590
School provider in Antioch, California. Individual provider, active in the CMS NPPES registry since March 17, 2025.
## Identity
- **NPI:** 1376343590 (Entity type: Individual)
- **Enumerated:** March 17, 2025
- **Primary specialty:** Counselor - School · taxonomy 101YS0200X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1711 MISSION DR, Antioch, CA 94509-4599
- **Phone:** (925) 779-7435
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376343590) · Data from the CMS NPPES public registry.