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Individual
MANUEL ALFONSO
Active
Individual
MANUEL ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15093
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000272F
BCBS
KS
01
—
12149494
MULTIPLAN
KS
01
—
16
PHS
KS
01
—
16878
COVENTRY
KS
01
—
200101
HPK
KS
Enumeration date
08/31/2006
Last updated
07/08/2007
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