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Alexis Black

Community Health Worker in Topeka, KS. Individual provider (NPI-1).

NPI number1164023115
StatusActive
Last updated in NPPESNov 5, 2020

Details

NPI
1164023115
Entity type
Individual (NPI-1)
Name
Alexis Black
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2020
Certification date
Nov 5, 2020
Last updated
Nov 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

325 Sw Frazier Ave
Topeka, KS 66606-1963

Phone 785-232-5005 · Fax 888-972-5038

Mailing address

325 Sw Frazier Ave
Topeka, KS 66606-1963

Phone 785-232-5005 · Fax 888-972-5038

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