Individual
ALEXIS GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4123 DUTCHMANS LN STE 307, LOUISVILLE, KY 40207-4721
(502) 409-5600
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC007
KY
Other
Enumeration date
11/03/2020
Last updated
02/04/2021
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