ALEXA NICOLE BLACK

LOUISVILLE, KY
NPI1104481050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  59245)
Enumeration Date2019-05-07
Last Update Date2024-07-11
Business Address
ALEXA NICOLE BLACK
13111 EASTPOINT PARK BLVD
LOUISVILLE, KY 40223-4164
Phone number: 502-216-2164
Mailing Address
ALEXA NICOLE BLACK
13111 EASTPOINT PARK BLVD
LOUISVILLE, KY 40223-4164
Phone number: 502-216-2164
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