Escudero, Ivan Alexander

Escudero, Ivan Alexander is an individual health care provider with primary practice located at 912 Wallace Ave Ste 102 , Leitchfield KY 42754-2405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Escudero, Ivan Alexander can be contacted via phone (270) 259-8888.

Contact Information

Primary practice address
912 Wallace Ave Ste 102 Leitchfield KY 42754-2405
Phone: (270) 259-8888
Fax: (270) 259-8887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57355 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1427679935
LBN Legal business name Escudero, Ivan Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated Apr 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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