Individual
DR. KEVIN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
1433 N 1075 W STE 104, FARMINGTON, UT 84025-2746
(801) 298-1300
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
11785838-1205
UT
Other
Enumeration date
04/17/2014
Last updated
10/21/2020
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