Healthcare Provider Details

I. General information

NPI: 1639657018
Provider Name (Legal Business Name): ALEXIS N MCANALLY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3581 HARRODSBURG RD STE 250
LEXINGTON KY
40513-1140
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-313-6300
  • Fax: 859-469-8185
Mailing address:
  • Phone: 606-330-7835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011985
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: