Individual
ALEXANDER HYKLE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PROVIDENCE WAY STE 200, NICHOLASVILLE, KY 40356-6033
(859) 260-5370
(859) 260-5379
Mailing address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 323-6712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56498
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/21/2019
Last updated
06/21/2022
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