Individual
MRS. CHARLENE L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
163 TOWER CIR, SOMERSET, KY 42503-3479
(606) 676-0786
(606) 451-0446
Mailing address
4330 LEBANON RD, DANVILLE, KY 40422-9626
(606) 676-0786
(606) 451-0446
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1045879
KY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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