Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanisha Graham

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1639817471

Kanisha Graham is a Clinical Laboratory Director (Non-physician) in Fort Myers, Florida. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

6237 Presidential Ct Ste 140
Fort Myers, FL 33919-3508
Phone: (877) 202-3530
Fax: (877) 772-5877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1639817471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address6237 Presidential Ct Ste 140, Fort Myers, FL 33919-3508