Individual
MADELYN GRACE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
205 CHARLES T WETHINGTON BUILDING, LEXINGTON, KY 40506-0001
(859) 257-5001
Mailing address
4015 STONE MILL WAY, CRESTWOOD, KY 40014-8761
(502) 438-0361
(502) 438-0361
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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