Provider Demographics
NPI:1043039159
Name:MONSON, ALYSSA A (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:A
Last Name:MONSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7111 W 151ST ST STE 303
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2231
Mailing Address - Country:US
Mailing Address - Phone:913-549-3884
Mailing Address - Fax:913-273-3343
Practice Address - Street 1:6650 W 110TH ST STE 220A
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1501
Practice Address - Country:US
Practice Address - Phone:913-549-3884
Practice Address - Fax:913-273-3343
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024037710363A00000X
KS15-02980363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant