Provider Demographics
NPI:1164578241
Name:KREHER, ALEXANDER VAUGH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:VAUGH
Last Name:KREHER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 PINE ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-0165
Mailing Address - Country:US
Mailing Address - Phone:334-265-9888
Mailing Address - Fax:
Practice Address - Street 1:1801 PINE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-0165
Practice Address - Country:US
Practice Address - Phone:334-265-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00011362208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000060020Medicaid
AL020009537OtherRAILROAD MEDICARE
AL51018407OtherBCBS PROVIDER NUMBER
AL51018407OtherBCBS PROVIDER NUMBER
AL000018407KREMedicare ID - Type Unspecified