Individual
KEVIN J MAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 942-6820
Mailing address
4500 OLD GREENWOOD RD, FORT SMITH, AR 72903-6417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2113
AR
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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