Provider Demographics
NPI:1912716937
Name:ALFORD, KERI (HEALTH EDUCATOR)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:ALFORD
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2764 PLEASANT ROAD
Mailing Address - Street 2:SUITE A- UNIT 10103
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7020
Mailing Address - Country:US
Mailing Address - Phone:917-270-0391
Mailing Address - Fax:
Practice Address - Street 1:14109 RIDGEWATER WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7020
Practice Address - Country:US
Practice Address - Phone:917-270-0391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171400000XOther Service ProvidersHealth & Wellness Coach