Basic Information
| Provider Information | |||||||||
| NPI: | 1841244746 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALDERSON | ||||||||
| FirstName: | KARLI | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PIGG | ||||||||
| OtherFirstName: | KARLI | ||||||||
| OtherMiddleName: | J | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 118 W 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBO | ||||||||
| State: | KS | ||||||||
| PostalCode: | 668569437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202566346 | ||||||||
| FaxNumber: | 6202566219 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 W 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBO | ||||||||
| State: | KS | ||||||||
| PostalCode: | 668569437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202566346 | ||||||||
| FaxNumber: | 6202566219 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 02/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 04-31140 | KS | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QB0002X | 04-31140 | KS | Y | Allopathic & Osteopathic Physicians | Family Medicine | Bariatric Medicine |
No ID Information.