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Alec Ikerd
Student in an Organized Health Care Education/Training Program in Joplin, Missouri
NPI 1417641713

Alec Ikerd is a Student in an Organized Health Care Education/Training Program based in Joplin, MO. Alec Ikerd practices in Joplin, MO. The NPI Number for Alec Ikerd is 1417641713 and holds a License No. (Missouri).

The current practice location address for Alec Ikerd is 2901 Saint Johns Blvd, Joplin, MO and can be reached out via phone at 417-208-0630.

Location: 2901 Saint Johns Blvd, Joplin, MO, 64804-1598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417641713
Provider Name
Alec Ikerd
Credential
Provider Entity Type
Individual
Gender
Male
Address
2901 Saint Johns Blvd, Joplin, MO, 64804-1598
Phone Number
417-208-0630
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2901 Saint Johns Blvd
City
Joplin
State
Missouri
Zip
64804-1598
Phone Number
417-208-0630
Fax Number
person
Provider Business Mailing Address Details
Address
2901 Saint Johns Blvd
City
Joplin
State
Missouri
Zip
64804-1598
Phone Number
417-208-0630
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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