Individual
DR. KYLE BLAKE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8760 MADISON BLVD, SUITE M, MADISON, AL 35758-2038
(256) 464-0020
(256) 464-0021
Mailing address
8760 MADISON BLVD, SUITE M, MADISON, AL 35758-2038
(256) 464-0020
(256) 464-0021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1403
AL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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