Provider Demographics
NPI:1255900213
Name:CARY, ALEXXIS DION (DPM)
Entity type:Individual
Prefix:DR
First Name:ALEXXIS
Middle Name:DION
Last Name:CARY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:GILBERTVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50634-0125
Mailing Address - Country:US
Mailing Address - Phone:319-404-8035
Mailing Address - Fax:
Practice Address - Street 1:7900 LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139-1246
Practice Address - Country:US
Practice Address - Phone:816-404-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1895908213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery