Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2021-02218 | NC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 64047 | MN |
NPI | 1043744931 |
---|---|
Provider Name | Kathryn Marie Alfonso |
First Address | Asheville, NC 28803-2868 |
Second Address | Asheville, NC 28803-2868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2017 |
Last Update Date | 07/07/2021 |