IndividualActive
Alexander Matlock, MD
NPI 1962089607 · Student in an Organized Health Care Education/Training Program · Kansas City, KS
Provider details
- NPI number
- 1962089607
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2023025114 (MO)
Practice location
3901 Rainbow Rainbow Blvd Ms 4015
Kansas City, KS 66160-8500
Phone: (913) 588-6400
Mailing address
3901 Rainbow Rainbow Blvd., Ms 4015
Kansas City, KS 66160
Registry dates
- Enumerated
- 2021-03-27
- Last updated
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.