Individual
CHRISTY ANN MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
3100 BROADWAY ST, SUITE 509, KANSAS CITY, MO 64111-2658
(816) 531-7373
(816) 531-1404
Mailing address
3100 BROADWAY ST, SUITE 509, KANSAS CITY, MO 64111-2658
(816) 531-7373
(816) 531-1404
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2002029424
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352249355
TAX ID
MO
01
—
36200011
BCBS SERVICING PROVIDER N
MO
01
—
36219011
BCBS GROUP NUMBER
MO
Enumeration date
11/28/2006
Last updated
01/19/2010
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