Individual
KRISTOPHER MADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
910 MADISON AVE STE 900, MEMPHIS, TN 38103
(901) 448-5630
Mailing address
1407 UNION AVE, MEMPHIS, TN 38104-3627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3167
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q031009
—
TN
Enumeration date
04/30/2008
Last updated
10/08/2018
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