Individual
DR. KEVIN LEE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PHD
Contact information
Practice address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Mailing address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784610001041
ADMINISTAR
MI
05
—
4401830
—
MI
01
—
KA002549
BLUE CROSS
MI
Enumeration date
07/21/2006
Last updated
07/08/2007
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