Provider Demographics
NPI:1043943343
Name:ZULUAGA KING, ALEXANDRA MELISSA (CD, CPD, CLC)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:MELISSA
Last Name:ZULUAGA KING
Suffix:
Gender:F
Credentials:CD, CPD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 YORK ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-2131
Mailing Address - Country:US
Mailing Address - Phone:859-992-4773
Mailing Address - Fax:
Practice Address - Street 1:942 YORK ST APT 2
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2131
Practice Address - Country:US
Practice Address - Phone:859-992-4773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5353374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula