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KANISHA GRAHAM
NPI 1639817471
Pathology - Clinical Laboratory Director, Non-physician in Fort Myers, FL

Active since May 23, 2022
6237 PRESIDENTIAL CT STE 140, FORT MYERS, FL 33919(877) 202-3530(877) 772-5877 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanisha Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANISHA GRAHAM (NPI 1639817471) is an individual clinical laboratory director, non-physician in Fort Myers, Florida and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1639817471
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameKANISHA GRAHAM
Location Address6237 PRESIDENTIAL CT STE 140Fort Myers, FL 33919-3508
Mailing Address6237 Presidential Ct Ste 140Fort Myers, FL 33919-3508 · (877) 202-3530 · Fax (877) 772-5877
Phone(877) 202-3530
Fax(877) 772-5877
Sole ProprietorNo
Enumeration DateMay 23, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1639817471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
6237 PRESIDENTIAL CT STE 140, Fort Myers, FL 33919
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIERRA CHIANTI TUCKER CPT
Technician, Pathology (Phlebotomy)
6237 PRESIDENTIAL CT STE 140
FORT MYERS, FL 33919
Lee County (877) 202-3530

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 Kanisha Graham's NPI number?

The NPI number for Kanisha Graham is 1639817471. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Kanisha Graham located?

Kanisha Graham practices at 6237 Presidential Ct Ste 140, Fort Myers, FL 33919. The listed phone number is (877) 202-3530.

What is Kanisha Graham's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Kanisha Graham was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.