# MADISON WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023472529
- **Authorized official:** PATRICK SCOTT CAMPBELL DC (OWNER)
- **Authorized official phone:** (859) 626-8833

## Contact information

- **Practice address:** 5008 ATWOOD DR, SUITE 4, RICHMOND, KY 40475-8184
- **Practice address phone:** (859) 626-8833
- **Practice address fax:** (859) 626-8832
- **Mailing address:** 5008 ATWOOD DR, SUITE 4, RICHMOND, KY 40475-8184
- **Mailing address phone:** (859) 626-8833
- **Mailing address fax:** (859) 626-8832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 08/19/2016