Individual
MADELYN FARRELL OLIVER JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57912
KY
Other
Enumeration date
04/10/2017
Last updated
10/03/2023
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