Individual
KIRIN LESLIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
(775) 738-4219
Mailing address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
(775) 738-4219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11933
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510458
—
NV
01
—
11933
STATE LICENSE
NV
01
—
CS14660
STATE PHARMACY
NV
Enumeration date
12/26/2006
Last updated
03/07/2023
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