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Individual

ALEX DAVID MITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 428-2900
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-127092-102
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557773-102
KS

Other

Enumeration date
05/19/2020
Last updated
06/24/2020
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