Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeline Moynihan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619673217

Madeline Moynihan is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

104 Cherokee Park
Lexington, KY 40503-1304
Phone: (859) 684-0103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619673217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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