Individual
DR. ETHAN KIRBY ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Mailing address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-09164
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94-09164
—
KS
Enumeration date
06/08/2017
Last updated
08/09/2019
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