Individual
J. LYNETTE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00657
KS
363AS0400X
Surgical Physician Assistant
15-00657
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-00657
KS LICENSE
KS
05
—
200714630A
—
KS
Enumeration date
05/01/2007
Last updated
09/02/2011
Update your record
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