Individual
KATHLEEN MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2006-0340
NM
2086S0129X
Vascular Surgery Physician
Primary
72618
CT
2086S0129X
Vascular Surgery Physician
NH17929
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34011
MT
Other
Enumeration date
02/06/2007
Last updated
10/10/2022
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