Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | R4327 | KY |
NPI | 1003348210 |
---|---|
Provider Name | Kali Alvarado |
First Address | Lexington, KY 40536-7001 |
Second Address | Lexington, KY 40536-7001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 24/05/2021 |