Provider Demographics
NPI:1154526226
Name:RAFOLS, KRISTEN TOREN (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:TOREN
Last Name:RAFOLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:LEIGH
Other - Last Name:TOREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 JUMP POINT LN
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-2251
Mailing Address - Country:US
Mailing Address - Phone:757-314-7673
Mailing Address - Fax:757-314-7977
Practice Address - Street 1:576 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-1373
Practice Address - Country:US
Practice Address - Phone:757-314-7673
Practice Address - Fax:757-314-7977
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250624207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101250624OtherVIRGINIA BOARD OF MEDICINE
VA0101250624OtherVIRGINIA BOARD OF MEDICINE