Healthcare Provider Details

I. General information

NPI: 1174162556
Provider Name (Legal Business Name): ALEXANDRA ROZMAN-O'NEILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CARONDELET DR
KANSAS CITY MO
64114-4673
US

IV. Provider business mailing address

1000 CARONDELET DR
KANSAS CITY MO
64114-4673
US

V. Phone/Fax

Practice location:
  • Phone: 816-943-2709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number2008028093
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: