Healthcare Provider Details

I. General information

NPI: 1821492885
Provider Name (Legal Business Name): ALEXANDER LANDFIELD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 REGENCY RD SUITE 501
LEXINGTON KY
40503-2335
US

IV. Provider business mailing address

2201 REGENCY RD SUITE 501
LEXINGTON KY
40503-2335
US

V. Phone/Fax

Practice location:
  • Phone: 859-523-7398
  • Fax: 859-687-9648
Mailing address:
  • Phone: 859-523-7398
  • Fax: 859-687-9648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER DAVID LANDFIELD
Title or Position: OWNER
Credential: MD
Phone: 859-523-7398