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Madalyn Bland South

Student in an Organized Health Care Education/Training Program in Lexington, KY. Individual provider (NPI-1).

NPI number1891600516
StatusActive
Last updated in NPPESAug 17, 2026

Details

NPI
1891600516
Entity type
Individual (NPI-1)
Name
Madalyn Bland South
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 17, 2026
Certification date
Aug 17, 2026
Last updated
Aug 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–KYYes

Other names

  • Madalyn Nicole Bland (Former Name)

Practice location

780 Rose St
Lexington, KY 40536-0001

Phone 859-323-6161

Mailing address

2644 Berwood Ln
Hebron, KY 41048-8241

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