Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nickolas Alsup, MD

Individual provider Otolaryngology Physician · NPI 1104655380

Nickolas Alsup, MD is an Otolaryngology Physician in Kansas City, Kansas. Licensed in Kansas. Registered with an NPI since 2024.

Licensed in
KS
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 Rainbow Blvd # MS 3010
Kansas City, KS 66160-7101
Phone: (913) 588-6739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 94-12225 (KS)

Record details

NPI number1104655380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address3901 Rainbow Blvd # Ms 3010, Kansas City, KS 66160-8500

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