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 |