Individual
MR. KEVIN MADONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1034 N HIGHLAND AVE STE D, MURFREESBORO, TN 37130-2463
(615) 569-4888
Mailing address
1333 SWAMP LEANNA RD, MURFREESBORO, TN 37129-7752
(615) 569-4888
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
363L00000X
Nurse Practitioner
36697
TN
363L00000X
Nurse Practitioner
95030734
CA
Other
Enumeration date
12/02/2013
Last updated
07/17/2024
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