Individual
KACI ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 N 1ST ST, INTERNAL MEDICINE, SPRINGFIELD, IL 62702-3757
(217) 545-8000
(217) 545-4735
Mailing address
PO BOX 19636, INTERNAL MEDICINE, SPRINGFIELD, IL 62794-9636
(217) 545-8000
(217) 545-4735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015018533
MO
Other
Enumeration date
06/16/2015
Last updated
06/24/2016
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