Provider Demographics
NPI:1972746998
Name:ALFORD, JAMES BLAIR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BLAIR
Last Name:ALFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6048 HOWE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-3446
Mailing Address - Country:US
Mailing Address - Phone:816-898-5705
Mailing Address - Fax:
Practice Address - Street 1:4720 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-3446
Practice Address - Country:US
Practice Address - Phone:913-222-8399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013044282207P00000X
KS05-40757207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine