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NPI Code Detail

MEDICARE: KEVIN ALFORD M.D.

MEDICARE: KEVIN ALFORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician341100NY
22085N0700XNeuroradiology PhysicianA174024CA
32085N0700XNeuroradiology Physician21017NV

General Provider Information

NPI Number : 1407242985
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN ALFORD M.D.
Provider Business Mailing Address
First Line : 11362 FAIRWIND CT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-8639
Country : US
Telephone Number : 858-444-6707
Fax Number :
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 858-444-6707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2015
Last Update Date : 01/14/2026

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