Individual
KRISTIN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
(502) 540-5615
Mailing address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
(502) 540-5615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015734
KY
Other
Enumeration date
02/26/2021
Last updated
05/16/2024
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