Healthcare Provider Details

I. General information

NPI: 1366719403
Provider Name (Legal Business Name): ALICE KIMBERLY SEARS D.V.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ALEXANDRIA DR STE 180
LEXINGTON KY
40504-3154
US

IV. Provider business mailing address

1801 ALEXANDRIA DR STE 180
LEXINGTON KY
40504-3154
US

V. Phone/Fax

Practice location:
  • Phone: 859-252-4917
  • Fax: 859-201-1010
Mailing address:
  • Phone: 859-252-4917
  • Fax: 859-201-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberNS 2334
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: