Provider Demographics
NPI:1447062815
Name:SHIPLEY, ALEXIS LYNN
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LYNN
Last Name:SHIPLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 656
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:KS
Mailing Address - Zip Code:66087-0656
Mailing Address - Country:US
Mailing Address - Phone:816-205-6038
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 656
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:KS
Practice Address - Zip Code:66087-0656
Practice Address - Country:US
Practice Address - Phone:816-205-6038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program