Healthcare Provider Details

I. General information

NPI: 1083101331
Provider Name (Legal Business Name): ALEXANDRA JAMIE MORELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2018
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-7001
US

IV. Provider business mailing address

800 ROSE ST
LEXINGTON KY
40536-7001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5553
  • Fax: 859-323-1602
Mailing address:
  • Phone: 859-323-5553
  • Fax: 859-323-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number59677
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: