Provider Demographics
NPI:1003139122
Name:KATHLEEN BRELSFORD FRENCH, M.D., P.C.
Entity type:Organization
Organization Name:KATHLEEN BRELSFORD FRENCH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:BRELSFORD
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-641-4877
Mailing Address - Street 1:3020 HAMAKER CT
Mailing Address - Street 2:SUITE B104
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2238
Mailing Address - Country:US
Mailing Address - Phone:703-641-4877
Mailing Address - Fax:703-641-1123
Practice Address - Street 1:3020 HAMAKER CT
Practice Address - Street 2:SUITE B104
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2238
Practice Address - Country:US
Practice Address - Phone:703-641-4877
Practice Address - Fax:703-641-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042074207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0600023OtherUNITEDHEALTHCARE
077829OtherANTHEM
VA615298Medicaid
30888OtherMAMSI/OPT CHOICE
0488417OtherAETNA
7147OtherCAREFIRST
30888OtherALLIANCE
07147OtherBLUECHOICE
077829OtherHEALTHKEEPERS
30888OtherALLIANCE