Individual
NICKOLAS ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS 66160-7101
(913) 588-6739
Mailing address
3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS 66160-8500
(913) 588-6739
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
94-12225
KS
Other
Enumeration date
07/29/2024
Last updated
06/06/2025
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