Healthcare Provider Details

I. General information

NPI: 1811687056
Provider Name (Legal Business Name): ALEC JOSEPH HAMPTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 WATSON ST STE 200
PRATT KS
67124-3092
US

IV. Provider business mailing address

203 WATSON ST STE 200
PRATT KS
67124-3092
US

V. Phone/Fax

Practice location:
  • Phone: 620-508-6610
  • Fax: 855-884-8184
Mailing address:
  • Phone: 620-508-6610
  • Fax: 855-884-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9411374
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: