Healthcare Provider Details

I. General information

NPI: 1366024762
Provider Name (Legal Business Name): COLE ALEXANDER LABHART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4117 BROWNS LN
LOUISVILLE KY
40220-1535
US

IV. Provider business mailing address

2086 STEAMBOAT WAY
JEFFERSONVILLE IN
47130-6851
US

V. Phone/Fax

Practice location:
  • Phone: 502-452-6337
  • Fax:
Mailing address:
  • Phone: 502-517-6778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61700
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: