Kelly Alford, DVM

Key facts

NPI

1821361031

Entity type

Individual (NPI type 1)

Primary specialty

Veterinarian 174M00000X

License

VM11210 (FL)

Practice address

28400 Old 41 Rd
Suite 1
Bonita Springs, FL 34135-6812

Phone

(239) 992-8387

Fax

(239) 949-0232

NPI assigned

Feb 17, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2012.

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1821361031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28400 OLD 41 RD",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356812",
            "telephone_number": "239-992-8387",
            "fax_number": "239-949-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 OLD 41 RD",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356812",
            "telephone_number": "239-992-8387",
            "fax_number": "239-949-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "FL",
            "license": "VM11210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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