Individual
MADELINE GRAYSTON HOFFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC082
KY
Other
Enumeration date
10/04/2024
Last updated
10/28/2024
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