MEDICARE: KURT M. ALEXANDER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC17608	CA
2	111N00000X	Chiropractor	10852099-1202	UT

General Provider Information

NPI Number	:	1992746028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT M. ALEXANDER DC

Provider Business Mailing Address
First Line	:	523 S DOUBLEDAY ST
Second Line	:
City	:	MAPLETON
State	:	UT
Zip	:	84664-4353
Country	:	US
Telephone Number	:	925-337-6526
Fax Number	:

Provider Business Practice Location Address
First Line	:	523 S DOUBLEDAY ST
Second Line	:
City	:	MAPLETON
State	:	UT
Zip	:	84664-4353
Country	:	US
Telephone Number	:	925-337-6526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/31/2023

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Directions to “ KURT M. ALEXANDER DC” Practice Location

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