Individual
DR. BRENT A. MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-4321
Mailing address
2323 LIME KILN LN, LOUISVILLE, KY 40222-3416
(502) 339-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33995
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64059348
—
KY
Enumeration date
05/16/2006
Last updated
07/10/2007
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