Provider Demographics
NPI:1821492885
Name:ALEXANDER LANDFIELD PLLC
Entity Type:Organization
Organization Name:ALEXANDER LANDFIELD PLLC
Other - Org Name:KENTUCKY NEUROLOGY AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LANDFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-523-7398
Mailing Address - Street 1:2201 REGENCY RD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2335
Mailing Address - Country:US
Mailing Address - Phone:859-523-7398
Mailing Address - Fax:859-687-9648
Practice Address - Street 1:2201 REGENCY RD
Practice Address - Street 2:SUITE 501
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2335
Practice Address - Country:US
Practice Address - Phone:859-523-7398
Practice Address - Fax:859-687-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100323210Medicaid
KY7100368050Medicaid
KY7100368050Medicaid