Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Alfonso

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689378135

Kimberly Alfonso is a Family Practice in Newtown Square, Pennsylvania. Qualified in 2023, 3 years ago. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3855 W Chester Pike # 300
Newtown Square, PA 19073-2304
Phone: (484) 427-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD496102 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689378135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3855 W Chester Pike # 300, Newtown Square, PA 19073-2304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Newtown Square