Individual
MADISON RAYNE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
11518 MAIN ST, LOUISVILLE, KY 40243-1316
(502) 445-6325
Mailing address
11518 MAIN ST, LOUISVILLE, KY 40243-1316
(502) 445-6325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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