Individual
KRISTINE NICOLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4021
(704) 384-5601
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-02312
NC
208000000X
Pediatrics Physician
MT217498
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306404611
—
VA
Enumeration date
05/31/2019
Last updated
01/28/2025
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