# HKSM MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659127934
- **Authorized official:** DR. SETH CALEB MAXWELL MD (CEO)
- **Authorized official phone:** (602) 663-3830

## Contact information

- **Practice address:** 27407 N 58TH DR, PHOENIX, AZ 85083-1266
- **Practice address phone:** (602) 663-3830
- **Mailing address:** 27407 N 58TH DR, PHOENIX, AZ 85083-1266
- **Mailing address phone:** (602) 663-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | — | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 04/26/2024
- **Last updated:** 04/26/2024