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

Keith Allen Graham, ATC/L

Individual provider Athletic Trainer · NPI 1447735907

Keith Allen Graham, ATC/L is an Athletic Trainer in Malta, New York. Practices as a sole proprietor. Licensed in New York and Vermont.

Licensed in
NY, VT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

8 Medical Park Dr Ste 100
Malta, NY 12020
Phone: (518) 363-8710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 003760-1 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 104.0000102 (VT)

Record details

NPI number1447735907
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC/L
Sole proprietorYes
NPI enumeratedOctober 1, 2018
Last updated in NPPESOctober 1, 2018

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