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NPI Code Detail

MEDICARE: MADISON LEIGH MUMPOWER DO

MEDICARE: MADISON LEIGH MUMPOWER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician06338KY

General Provider Information

NPI Number : 1588368492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON LEIGH MUMPOWER DO
Provider Business Mailing Address
First Line : 1740 NICHOLASVILLE RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1431
Country : US
Telephone Number : 859-260-6348
Fax Number : 859-260-4350
Provider Business Practice Location Address
First Line : 1740 NICHOLASVILLE RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1431
Country : US
Telephone Number : 859-260-6348
Fax Number : 859-260-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 05/11/2026

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Directions to “ MADISON LEIGH MUMPOWER DO” Practice Location

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