Individual
MEGHAN MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3166
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100905540
—
KY
Enumeration date
11/04/2021
Last updated
06/27/2024
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