Healthcare Provider Details

I. General information

NPI: 1386054484
Provider Name (Legal Business Name): KIRILL ALEKSEYEV MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 MCKEE RD
DOVER DE
19904-1381
US

IV. Provider business mailing address

1240 MCKEE RD
DOVER DE
19904-1381
US

V. Phone/Fax

Practice location:
  • Phone: 302-922-1044
  • Fax:
Mailing address:
  • Phone: 302-922-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberC10012721
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME151532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: