Individual
KEVIN MADDEN
Active
Individual
KEVIN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
254909
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
Q1662
TX
2080P0203X
Pediatric Critical Care Medicine Physician
A78737
CA
208100000X
Physical Medicine & Rehabilitation Physician
Q1662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A787370
—
CA
05
—
342548001 (MDACC)
—
TX
01
—
342548002
CSHCN MEDICAID
TX
01
—
8ER498 (MDACC)
BCBS
TX
Enumeration date
10/04/2006
Last updated
07/11/2022
Update your record
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