Individual
CAROL MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3625 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
(502) 785-8558
Mailing address
4308 DAWKINS CT, LOUISVILLE, KY 40229-2010
(502) 876-7122
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1108604
KY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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