MEDICARE: DR. ALEXANDER LOUDON VI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4737	KY

General Provider Information

NPI Number	:	1023200755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER LOUDON VI DC

Provider Business Mailing Address
First Line	:	216 FOUNTAIN CT STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2510
Country	:	US
Telephone Number	:	859-335-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 FOUNTAIN CT STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2510
Country	:	US
Telephone Number	:	859-335-3171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	07/06/2020

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