Individual
ALICIA BEATRIZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4011
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 569-7983
(502) 589-4989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100434690
—
KY
Enumeration date
05/11/2012
Last updated
03/20/2018
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