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

Individual provider Physician Assistant · NPI 1982459707

McKenna Graham, PA-C is a Physician Assistant in Boulder, Colorado. Qualified in 2023, 3 years ago. Practices with Dynamic Athlete PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1790 30th St
Boulder, CO 80301-1022
Phone: (303) 997-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011988 (MI)

Record details

NPI number1982459707
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dynamic Athlete Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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