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Kelly A Maddux
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1790475275

Kelly A Maddux is a Student in an Organized Health Care Education/Training Program based in Kirksville, MO. Kelly A Maddux practices in Kirksville, MO. The NPI Number for Kelly A Maddux is 1790475275 and holds a License No. (Missouri).

The current practice location address for Kelly A Maddux is 800 W Jefferson St, Kirksville, MO and can be reached out via phone at 866-626-2878.

Location: 800 W Jefferson St, Kirksville, MO, 63501-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790475275
Provider Name
Kelly A Maddux
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 W Jefferson St, Kirksville, MO, 63501-1443
Phone Number
866-626-2878
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
866-626-2878
Fax Number
person
Provider Business Mailing Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
866-626-2878
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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