NPI 1134909179

Krystal Lea Maddox

Practitioner Home Health Aide Medford, OR

Practice location

Address: 1301 W Stewart Ave Unit 1, Medford, OR 97501-4705
Phone: (541) 261-8061
Mailing address: 747 NE 12th St, Grants Pass, OR 97526-1659

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Oregon →

Registry record

NPI: 1134909179
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2023
Record last updated: 5 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.