Provider Demographics
NPI:1457974875
Name:NEAL, ALEXANDRA CAITLIN (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CAITLIN
Last Name:NEAL
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 1:103 ALYCIA DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2368
Mailing Address - Country:US
Mailing Address - Phone:859-624-6515
Mailing Address - Fax:859-624-6514
Practice Address - Street 1:103 ALYCIA DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2368
Practice Address - Country:US
Practice Address - Phone:859-624-6515
Practice Address - Fax:859-624-6514
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY60748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine