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Individual

DR. KEN D ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3406 BROADWAY ST, SUITE A, KANSAS CITY, MO 64111-2404
(816) 531-3300
Mailing address
3406 BROADWAY ST, SUITE A, KANSAS CITY, MO 64111-2404
(816) 531-3300

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5908
MO
111NS0005X
Sports Physician Chiropractor
C-4046
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19016011
BC/BS NUMBER/CHIROPRACTIC
MO
Enumeration date
09/16/2006
Last updated
07/08/2009
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