Individual
MADELINE KHOUNLAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
101 MAIN BUILDING, LEXINGTON, KY 40506-0001
(859) 257-2000
Mailing address
108 HILLVIEW LN, SOUTH POINT, OH 45680-9357
(740) 646-0164
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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