Rebecca L Alfred, MD

Individual provider Active NPI Pediatrics Physician · Overland Park, KS

NPI 1497712426 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497712426
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
0428584 (KS)
Practice address
5808 W 110TH St
Attn: CMS Urgent Care Center
Overland Park, KS 66211-2504
Phone
(913) 696-8228
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0428584KSMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0428584 KS Yes

Addresses

Primary practice location

5808 W 110TH St
Attn: CMS Urgent Care Center
Overland Park, KS 66211-2504

Mailing address

5808 W 110TH St
Attn: CMS Urgent Care Center
Overland Park, KS 66211-2504
Phone (913) 696-8228

Other providers in Overland Park, KS

All providers in Overland Park, KS · Pediatrics Physician in Kansas

Sources for this page

Verify at the official NPI Registry.