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

Kenneth Daniel Graham, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1164941977

Kenneth Daniel Graham, PHYSICIANASSISTANT is a Physician Assistant in Durham, North Carolina. Qualified in 2017, 9 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
9
Licensed in
FL, NC
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5716 Fayetteville Rd
Durham, NC 27713-9661
Phone: (919) 572-1868
Show map & directions

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

Additional practice locations (4)

  • 2555 S Kirkman Rd # Rs, Orlando, FL 32811-2346 — (407) 362-2030
  • 1059 Beaver Creek Commons Dr Ste 230, Apex, NC 27502-3918 — (919) 960-1300
  • 100 Cornerstone Dr, Cary, NC 27519-8453 — (919) 650-3660
  • 4041 Ed Dr, Raleigh, NC 27612-8004 — (919) 783-8377

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07556 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9114062 (FL)

Record details

NPI number1164941977
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Durham