Most Relevant Information
Provider Data
| NPI Number: | 1003571340 |
| Provider Name: | KACEY ALCORN |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2021 |
| Last Updated: | 11/02/2021 |
Provider Practice Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Practice Location Phone/Fax
| Phone: | 8592531686 |
| Fax: |
Provider Mailing Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Provider Mailing Phone/Fax
| Phone: | 8592531686 |
| Fax: |