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Individual

C. ALEXANDER CARRASQUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 TERRA CROSSING BLVD STE 101, LOUISVILLE, KY 40245-5395
(502) 210-4600
(502) 210-4605
Mailing address
1808 SHERWOOD AVE, LOUISVILLE, KY 40205-1041
(502) 387-3268

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
53367
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300051639
IN
05
7100743060
KY
Enumeration date
04/04/2017
Last updated
07/12/2021
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