SearchKansas363LP2300X

Alexandra Dibasilio

NPI 1013640093 · on the registry since 2022

Practice

Address
315 Pope Ave Apt 8
Fort Leavenworth, KS 66027
Phone
(410) 960-5206

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas