Provider Demographics
NPI:1699298109
Name:ALEBNA, PRINCE ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:PRINCE
Middle Name:ANDREW
Last Name:ALEBNA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2301 HOLMES ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2640
Mailing Address - Country:US
Mailing Address - Phone:816-404-1225
Mailing Address - Fax:816-404-3106
Practice Address - Street 1:2301 HOLMES ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2640
Practice Address - Country:US
Practice Address - Phone:816-404-1225
Practice Address - Fax:816-404-3106
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2024-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024007470207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease