Individual
ALEXANDER JAMAL MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW RAINBOW BLVD MS 4015, KANSAS CITY, KS 66160-8500
(913) 588-6400
Mailing address
3901 RAINBOW RAINBOW BLVD., MS 4015, KANSAS CITY, KS 66160
(913) 588-6400
(913) 588-6414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
2023025114
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
06/30/2023
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