SearchKentucky171M00000X

Davarres Alexander, QMHP

NPI 1649827171 · on the registry since 2019 · sole proprietor

Practice

Address
9913 Shelbyville Rd Ste 103
Louisville, KY 40223
Phone
(980) 777-0586
Organisation at this address
Optimum Health Center
Douglas Institute Pllc
The Promised Generation
New Source Medical, Llc
Anant Integrated Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
175T00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky