Individual
DR. KEITH M MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 TURTLE CREEK DR, ASHEVILLE, NC 28803
(828) 274-4555
(828) 274-3615
Mailing address
PO BOX 27877, SALT LAKE CITY, UT 84127-0877
(828) 694-8385
(828) 694-7654
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27823
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
27823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114G
BCBS OF NC PROVIDER NUMBE
NC
01
—
200038382
MEDICARE RR PROVIDER NUMB
NC
05
—
891114G
—
NC
01
—
A3023
MEDCOST PROVIDER NUMBER
NC
01
—
P00916635
RR MEDICARE
NC
Enumeration date
10/04/2006
Last updated
08/28/2018
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