Individual
ALEXANDRA KAY DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225015
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
2025049893
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
38661
TN
Other
Enumeration date
10/31/2022
Last updated
02/26/2026
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