Carol McMahan, RN
Registered Nurse, Rehabilitation in Louisville, KY. Individual provider (NPI-1).
NPI number1184291981
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1184291981
- Entity type
- Individual (NPI-1)
- Name
- Carol McMahan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0400X | Registered Nurse, Rehabilitation | 1108604 | KY | Yes |
Practice location
3625 Fern Valley RdLouisville, KY 40219-1916
Phone 502-785-8558
Mailing address
4308 Dawkins CtLouisville, KY 40229-2010
Phone 502-876-7122
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