Individual
KELSEY MARIE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
519 E LURAY AVE, ALEXANDRIA, VA 22301
(240) 498-0385
Mailing address
519 E LURAY AVE, ALEXANDRIA, VA 22301-1605
(240) 498-0385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
294295
NY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
MDRE.ML.60481953
WA
Other
Enumeration date
04/21/2014
Last updated
11/17/2021
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