Individual
ALPHA A SEALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 SCOTT ST, COVINGTON, KY 41011-2420
(859) 491-6411
(859) 491-6450
Mailing address
806 SCOTT ST, COVINGTON, KY 41011-2420
(859) 491-6411
(859) 491-6450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000003380
ANTHEM
KY
01
—
50000647
PASSPORT
KY
05
—
64179385
—
KY
01
—
K1793801
CHOICE CARE
KY
Enumeration date
12/19/2005
Last updated
07/09/2007
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