Provider Demographics
NPI:1346054442
Name:ALARCON, CHRISTIAN BERNARD BARTOLOME
Entity type:Individual
Prefix:
First Name:CHRISTIAN BERNARD
Middle Name:BARTOLOME
Last Name:ALARCON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 DIAMOND PKWY APT 233
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4341
Mailing Address - Country:US
Mailing Address - Phone:832-431-6752
Mailing Address - Fax:
Practice Address - Street 1:1770 DIAMOND PKWY APT 233
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-4341
Practice Address - Country:US
Practice Address - Phone:832-431-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program