Provider Demographics
NPI:1215004478
Name:MEREDITH, ALEXIS HARPER (MD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:HARPER
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 605
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-691-5098
Mailing Address - Fax:816-346-7401
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 605
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-691-5098
Practice Address - Fax:816-346-7401
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS30001207RP1001X
MO2006011986207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1215004478Medicaid
MO1215004478Medicaid