Individual
MRS. KINSEY ANN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
204 NE CHIPMAN RD, LEES SUMMIT, MO 64063-2404
(816) 682-5736
Mailing address
905 EASY ST, LAWRENCE, KS 66049-4706
(580) 650-9197
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
2015036501
MO
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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