Provider Demographics
NPI:1508458803
Name:VARADY, ALEXIS (DC, CBC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:VARADY
Suffix:
Gender:F
Credentials:DC, CBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2314
Mailing Address - Country:US
Mailing Address - Phone:606-424-4529
Mailing Address - Fax:
Practice Address - Street 1:206 WAYNE DR STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2337
Practice Address - Country:US
Practice Address - Phone:859-446-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY267172111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor