Provider Demographics
NPI:1528419090
Name:GRIEVES, ALEX MORAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:MORAN
Last Name:GRIEVES
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3929
Mailing Address - Country:US
Mailing Address - Phone:785-625-2719
Mailing Address - Fax:785-625-7398
Practice Address - Street 1:1016 E 8TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3929
Practice Address - Country:US
Practice Address - Phone:785-625-2719
Practice Address - Fax:785-625-7398
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8420174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist