Individual
ALEXANDER FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Mailing address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-50029
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
09/20/2024
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