Alyssa Kelvington
Community Health Worker in San Francisco, CA. Individual provider (NPI-1).
NPI number1962049072
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1962049072
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Kelvington
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1801 Vicente StSan Francisco, CA 94116-2923
Phone 415-681-3211
Mailing address
1004 Camino CoronadoRohnert Park, CA 94928-3421
Phone 951-751-4018
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