Individual
MCKAYLA RENEE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3250 GORDONVILLE RD STE 301, CAPE GIRARDEAU, MO 63703-5095
(573) 334-9641
(573) 331-4130
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5228
(573) 331-5073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024018669
MO
Other
Enumeration date
05/31/2024
Last updated
08/23/2024
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