Doctor Name: | MRS. KELSEY R ALFORD |
NPI Number: | 1376887497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024170474 |
Business Practice Address: | 205 Hirst Rd Purcellville, VA - 201326198 |
Business Phone Number: | 7032262290 |
Business Fax Number: | 7032891420 |
Mailing Address: | 2730-d Prosperity Avenue, FAIRFAX |
State: | VA |
Postal Code: | 22031 |
Phone Number: | 7032891400 |
Fax Number: | 7032891414 |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0024170474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |