Individual
ALBERT E ALEXANDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST # C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015914
LA
2085R0202X
Diagnostic Radiology Physician
Primary
48153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345288
—
LA
01
—
48153
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
07/25/2006
Last updated
11/17/2020
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