Healthcare Provider Details

I. General information

NPI: 1184587958
Provider Name (Legal Business Name): ALEXZANDER COLT ESTEP-KOLANDER REGISTERED NURSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEXZANDER COLT ESTEP LVN

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 SOUTH JACKSON ST CENTER FOR WOMEN AND INFANTS
LOUISVILLE KY
40202
US

IV. Provider business mailing address

530 SOUTH JACKSON ST CENTER FOR WOMEN AND INFANTS
LOUISVILLE KY
40202
US

V. Phone/Fax

Practice location:
  • Phone: 502-588-4400
  • Fax:
Mailing address:
  • Phone: 502-588-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number14091279-1723
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberPL018725
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number72490
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: