Provider Demographics
NPI:1447259221
Name:NEEL, ALEXANDER BAXTER (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:BAXTER
Last Name:NEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WATSON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PRATT
Mailing Address - State:KS
Mailing Address - Zip Code:67124-3092
Mailing Address - Country:US
Mailing Address - Phone:620-672-1002
Mailing Address - Fax:620-450-1741
Practice Address - Street 1:203 WATSON ST STE 300
Practice Address - Street 2:
Practice Address - City:PRATT
Practice Address - State:KS
Practice Address - Zip Code:67124-3092
Practice Address - Country:US
Practice Address - Phone:620-672-1002
Practice Address - Fax:620-450-1741
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0425963174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSE40497Medicare UPIN