Provider Demographics
NPI:1083169320
Name:CORKERN, MADELYN H (DO)
Entity Type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:H
Last Name:CORKERN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:130 DESIARD ST STE 355
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7363
Mailing Address - Country:US
Mailing Address - Phone:318-998-3426
Mailing Address - Fax:318-812-6603
Practice Address - Street 1:920 OLIVER RD # A
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5702
Practice Address - Country:US
Practice Address - Phone:318-807-4951
Practice Address - Fax:318-812-0808
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2023-03-01
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Provider Licenses
StateLicense IDTaxonomies
LA325857207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine