MEDICARE: KATHLEEN BRELSFORD FRENCH MD

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
1	207T00000X	Neurological Surgery Physician	0101042074	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	07147	OTHER	BLUE CHOICE
2	30888	OTHER	OPT CHOICE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0488417	OTHER	AETNA
5	0600023	OTHER	UNITED HEALTHCARE
6	30888	OTHER	MDIPA
7	30888	OTHER	MAMSI
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1383241	OTHER	FIRST HEALTH
10	077829	OTHER	ANTHEM
11	30888	OTHER	ALLIANCE
12	7147	OTHER	NAS
13	077829	OTHER	HEALTH KEEPERS
14	7147	OTHER	CAREFIRST

General Provider Information

NPI Number	:	1841282506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN BRELSFORD FRENCH MD

Provider Business Mailing Address
First Line	:	3020 HAMAKER CT
Second Line	:	SUITE B 104
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2238
Country	:	US
Telephone Number	:	703-641-4877
Fax Number	:	703-641-1123

Provider Business Practice Location Address
First Line	:	3020 HAMAKER CT
Second Line	:	SUITE B 104
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2238
Country	:	US
Telephone Number	:	703-641-4877
Fax Number	:	703-641-1123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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