Basic Information
Provider Information
NPI: 1093711319
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRONG
FirstName: ALEXANDRA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 2790 CLAY EDWARDS DR
Address2: STE 600
City: N KANSAS CITY
State: MO
PostalCode: 641163274
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Practice Location
Address1: 2790 CLAY EDWARDS DR
Address2: STE 600
City: N KANSAS CITY
State: MO
PostalCode: 641163274
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Other Information
ProviderEnumerationDate: 06/22/2005
LastUpdateDate: 04/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X101635MOY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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