Provider Demographics
NPI:1164959862
Name:KIRNER, ALEXIS NIEMANN (AUD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:NIEMANN
Last Name:KIRNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:NOELLE
Other - Last Name:NIEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-6877
Mailing Address - Country:US
Mailing Address - Phone:573-221-5250
Mailing Address - Fax:573-231-3824
Practice Address - Street 1:100 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401
Practice Address - Country:US
Practice Address - Phone:525-057-3221
Practice Address - Fax:573-231-3824
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist