Individual
ALEXANDRA KIVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(413) 364-5124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1130
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
12/02/2022
Last updated
10/13/2023
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