| NPI | 1124239470 |
|---|---|
| Doing Business As | GENERATIONS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN KELLEHER Medical Director 703-464-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101054571) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-01-04 |