Individual
MRS. KATHY PAULINE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
254 SUZZANNE WAY, FLORENCE, KY 41042-7924
(859) 282-6634
Mailing address
254 SUZZANNE WAY, FLORENCE, KY 41042-7924
(859) 322-7623
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
KY
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1486
FIRST STEPS PROVIDER NUMBER
KY
Enumeration date
04/30/2008
Last updated
07/21/2022
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