KIMMALA SHETEF ROUNDTREE FNP-BC NPI 1205210788

NPI Information

Kimmala Shetef Roundtree, FNP-BC is a family nurse practitioner in Alexandria, VA. Kimmala Shetef Roundtree, FNP-BC NPI is 1205210788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6164 FULLER COURT SUITE #2
ALEXANDRIA, VA
ZIP 22310
Phone: (703) 901-4434
Fax: (703) 924-7044

The NPI 1205210788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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