King, Alexis D

King, Alexis D is an individual health care provider with primary practice located at 585 S Deer Trak , Garden City KS 67846-8995. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. King, Alexis D can be contacted via phone (620) 290-2466.

Contact Information

Primary practice address
585 S Deer Trak Garden City KS 67846-8995
Phone: (620) 290-2466
Fax: (620) 272-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 55377 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55377 Kansas

Profile Details

NPI number 1356310825
LBN Legal business name King, Alexis D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356310825 NPPES
Kansas MEDICAID 200258970B

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