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NPI Code Detail

MEDICARE: ALEXANDRIA FOLEY

MEDICARE: ALEXANDRIA FOLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1144982760
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA FOLEY
Provider Business Mailing Address
First Line : 5765 TYRONE PIKE
Second Line :
City : VERSAILLES
State : KY
Zip : 40383-9090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 LIBERTY RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-4319
Country : US
Telephone Number : 502-777-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 10/11/2021

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Directions to “ ALEXANDRIA FOLEY ” Practice Location

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