Individual
DR. KENYA MARQUITA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9334
(616) 364-1500
(616) 364-6400
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301080050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2609404142
BCBS PIN
MI
Enumeration date
03/02/2007
Last updated
12/22/2014
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