Individual
DR. DAVID A MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 FAIRVIEW CT, EMINENCE, KY 40019-1158
(502) 845-5672
(502) 845-1402
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 845-5672
(502) 845-1402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25251
KY
207R00000X
Internal Medicine Physician
Primary
25251
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25251
KY LICENSE
KY
05
—
64252513
—
KY
Enumeration date
09/01/2006
Last updated
03/07/2023
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