Alicia M Cardona, M.D.
Individual provider Active NPI Psychiatry Physician · Lawrence, KS
NPI 1821285602 · NPPES record last updated Mar 4, 2016
Key facts
- NPI
- 1821285602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 08-00267 (KS)
- Practice address
- 4525 W 6TH St
Suite 100
Lawrence, KS 66049-4815 - Phone
- (785) 843-5160
- Fax
- (785) 843-2524
- NPI assigned
- Sep 26, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 08-00267 | KS | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 08-00267 | KS | Yes |
Addresses
Primary practice location
4525 W 6TH St
Suite 100
Lawrence, KS 66049-4815
Mailing address
4525 W 6TH St
Suite 100
Lawrence, KS 66049-4815
Phone (785) 843-5160
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All providers in Lawrence, KS · Psychiatry Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.