Provider Demographics
NPI:1225319312
Name:ROLFE, KELSEY ROBIN (MS)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:ROBIN
Last Name:ROLFE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ROBIN
Other - Last Name:GILMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9300 CAMPUS POINT DR.
Mailing Address - Street 2:#7768
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-657-7203
Mailing Address - Fax:
Practice Address - Street 1:9300 CAMPUS POINT DR
Practice Address - Street 2:#7768
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1300
Practice Address - Country:US
Practice Address - Phone:858-657-7203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000162170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS