Kelly S Maddox

NPI #1982944955 in Huntsville, Ohio

Provider Information

NPI Number
1982944955
Entity Type
Individual
Name
Kelly S Maddox
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 27, 2013
Last Updated
Feb 27, 2013

Practice Location

Address
5145 COUNTY ROAD 49
State
Ohio
ZIP Code
43324-9787
Phone
(937) 441-2912

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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