MEDICARE: KADY COX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1629934500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADY COX

Provider Business Mailing Address
First Line	:	250 E HARBORTOWN DR APT 1511
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-5013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18650 LANCASHIRE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1327
Country	:	US
Telephone Number	:	310-869-1661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ KADY COX ” Practice Location

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