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

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

Practice location Address checks out

6237 Presidential Ct Ste 140
Fort Myers, FL 33919-3508
Phone: (877) 202-3530
Fax: (877) 772-5877
Show map & directions

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