Individual provider · NPI-1

Elijah Alcorn, MD

Family Medicine · Wichita, KS

NPI number1376386755
StatusActive
Last updated in NPPESJun 14, 2024

Details

NPI
1376386755
Entity type
Individual (NPI-1)
Name
Elijah Alcorn
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2024
Certification date
Jun 14, 2024
Last updated
Jun 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine94-11905KSYes

Practice location

1121 S Clifton Ave
Wichita, KS 67218-2912

Phone 316-689-5500

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124

Phone 316-293-2665

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