Healthcare Provider Details

I. General information

NPI: 1437889912
Provider Name (Legal Business Name): ALEXIS KUZEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VIEWPOINT DR
ALEXANDRIA KY
41001-1086
US

IV. Provider business mailing address

1 VIEWPOINT DR
ALEXANDRIA KY
41001-1086
US

V. Phone/Fax

Practice location:
  • Phone: 859-635-1420
  • Fax:
Mailing address:
  • Phone: 859-635-1420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number021637
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: