Individual
MADISON MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-1000
Mailing address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-1000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1145120
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
157377
KY
Other
Enumeration date
06/20/2023
Last updated
12/19/2025
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