Individual provider · Type 1 NPI

Alexis Leena Stallard

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1811629900 Active

Practice location

901 S 4th St
Louisville, KY 40203-3205

Mailing address

9714 Brooks Bend Rd
Louisville, KY 40258-4623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811629900

Alexis Leena Stallard's National Provider Identifier is 1811629900, issued on Jun 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Jun 27, 2022.