Individual
DR. ALEXANDER WOODSON PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 LIME KILN LN, LOUISVILLE, KY 40222-3460
(502) 899-9979
Mailing address
2341 LIME KILN LN, LOUISVILLE, KY 40222-3460
(502) 899-9979
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
V0118
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
282168
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
58133
KY
Other
Enumeration date
03/24/2017
Last updated
12/27/2025
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