Cross-Tipton, Alicia R

Cross-Tipton, Alicia R is an individual health care provider with primary practice located at 120 Ne Saint Lukes Blvd Ste. 200, Lees Summit MO 64086-6000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cross-Tipton, Alicia R can be contacted via phone (816) 246-4302.

Contact Information

Primary practice address
120 Ne Saint Lukes Blvd Ste. 200 Lees Summit MO 64086-6000
Phone: (816) 246-4302
Fax: (816) 246-9493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2015005495 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01853 Kansas

Profile Details

NPI number 1437541893
LBN Legal business name Cross-Tipton, Alicia R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2015
Last updated Jan 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437541893 NPPES
Other 4857968 AETNA
Other P01516242 AETNA

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