Individual
IVAN ALEJANDRO CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 DIXIE HWY, SUITE 133, LOUISVILLE, KY 40258-3913
(502) 937-3864
(502) 937-1237
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 937-3864
(502) 937-1237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45462
KY
207Q00000X
Family Medicine Physician
FT436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100137250
—
KY
Enumeration date
04/09/2009
Last updated
03/21/2018
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