Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 2006015207 | MO |
NPI | 1063437176 |
---|---|
Provider Name | Dr. Shelley Lynn Alexander |
First Address | Overland Park, KS 66202-1273 |
Second Address | Leawood, KS 66206-2522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 31/07/2019 |