Individual
DR. KENNETH ALFIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19609 E 9TH ST S, INDEPENDENCE, MO 64056-3088
(816) 796-1412
(816) 796-3398
Mailing address
12800 BIRCH ST, LEAWOOD, KS 66209-3424
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R8D54
MO
2085R0202X
Diagnostic Radiology Physician
Primary
R8D54
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208050D
—
KS
05
—
202129524
—
MO
01
—
300118566
RAILROAD MEDICARE
MO
01
—
P00313597
RR MEDICARE
KS
Enumeration date
10/18/2005
Last updated
02/07/2012
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