NPI 1114070778

Thaddeus M Alexander

Practitioner Contractor Wichita, KS

Practice location

Address: 12521 W Kenny Cir, Wichita, KS 67235-1956
Phone: (316) 721-5495

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1114070778
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.