Individual
KYNA TANISI MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43313 WOODWARD AVE STE 1083, BLOOMFIELD HILLS, MI 48302-5007
(586) 800-9529
Mailing address
43313 WOODWARD AVE STE 1083, BLOOMFIELD HILLS, MI 48302-5007
(586) 800-9529
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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