Individual
DONNA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 CLIFTY ST, SOMERSET, KY 42503-1765
(606) 485-4730
(606) 485-4733
Mailing address
21 FERRY RD, SOMERSET, KY 42503-6205
(606) 802-5060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2044891
KY
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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