Provider Demographics
NPI:1508516840
Name:HENSLEY, ALEXANDRA MORIAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:MORIAH
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 REGINA AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-2332
Mailing Address - Country:US
Mailing Address - Phone:321-961-9494
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST RM MN283
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-5057
Practice Address - Fax:859-257-6024
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program