Individual
MR. CLAY D MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 452-5611
Mailing address
216 PROMISE LN APT 303, LAFAYETTE, IN 47905-5052
(765) 490-1147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28245948C
IN
163WE0003X
Emergency Registered Nurse
Primary
28245948A
IN
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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