Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 48452 | KY |
NPI | 1053574160 |
---|---|
Provider Name | Craig Holt Alexander |
First Address | Danville, KY 40422-2091 |
Second Address | Danville, KY 40422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 14/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0141248 | (05) | OH |
201320800 | (05) | IN |
7100362960 | (05) | KY |