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

Kendra Mae Graham, PA

Individual provider Physician Assistant · NPI 1356968390

Kendra Mae Graham, PA is a Physician Assistant in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2101 Little Mountain Ln
Mount Vernon, WA 98274-8752
Phone: (360) 428-2622
Fax: (360) 428-3941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60185104 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61085104 (WA)

Record details

NPI number1356968390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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