Maddox, Libbia A

Maddox, Libbia A is an individual health care provider with primary practice located at 617 23Rd St Ste 415 , Ashland KY 41101-2882. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maddox, Libbia A can be contacted via phone (606) 325-6888.

Contact Information

Primary practice address
617 23Rd St Ste 415 Ashland KY 41101-2882
Phone: (606) 325-6888
Fax: (606) 326-9368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA589 Kentucky

Profile Details

NPI number 1447275797
LBN Legal business name Maddox, Libbia A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447275797 NPPES
Kentucky MEDICAID 7100006060

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