Individual
KATHLEEN M. KANE-MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
405 S 2ND ST, WILMINGTON, NC 28401-5001
(910) 520-0202
(910) 254-3566
Mailing address
405 S 2ND ST, WILMINGTON, NC 28401-5001
(910) 520-0202
(910) 254-3566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724776A
—
NC
Enumeration date
04/14/2006
Last updated
01/04/2009
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