Kelly Jo Kaufman-Green
Dermatologist
5249 Duke St Ste 5
Alexandria
, Virginia 22304
Kelly Jo Kaufman-Green
Dermatologist
5249 Duke St Ste 5
Alexandria
, Virginia 22304
(703) 370-8275
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Kelly Jo Kaufman-Green
- 5249 Duke St Ste 5
- Alexandria, VA
- Zip : 22304-2907
- Fax : (703) 370-8275
- Phone : (703) 751-2616
Second Address
- Kelly Jo Kaufman-Green
- 5249 Duke St Ste 5
- Alexandria, VA
- Zip : 22304
- Fax : (703) 370-8275
- Phone : (703) 751-2616
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 0101240772 | VA |
National Provider Identifier
| NPI | 1033261003 |
|---|---|
| Provider Name | Kelly Jo Kaufman-Green |
| First Address | Alexandria, VA 22304-2907 |
| Second Address | Alexandria, VA 22304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 30/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.