Individual
ALEXANDER ERIC FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7450 KESSLER ST STE 205, MERRIAM, KS 66204-2553
(913) 632-9810
(913) 632-9828
Mailing address
7450 KESSLER ST STE 205, MERRIAM, KS 66204-2553
(913) 632-9810
(913) 632-9828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0437003
KS
2084N0400X
Neurology Physician
Primary
0437003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201215160
—
IN
Enumeration date
07/07/2008
Last updated
03/23/2022
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