Individual
MADDY LEEDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
943 N ANDOVER RD, ANDOVER, KS 67002-9795
(316) 295-3065
Mailing address
943 N ANDOVER RD, ANDOVER, KS 67002-9795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06357
KS
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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