Healthcare Provider Details

I. General information

NPI: 1942104344
Provider Name (Legal Business Name): MADINA AMARKHAIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NICHOLASVILLE RD STE 108
LEXINGTON KY
40503-2537
US

IV. Provider business mailing address

669 VONBRYAN TRCE
LEXINGTON KY
40509-2138
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-6419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number1175422
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: