Individual
MRS. KATHLEEN S. MAUKS
Active
Individual
MRS. KATHLEEN S. MAUKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001146059
—
CT
01
—
0078385
UNITED HEALTH CARE
CT
01
—
010014605CT01
BC/BS
CT
01
—
040045
HEALTHNET
CT
01
—
4283743
AETNA
CT
01
—
714605
CONNECTICARE
CT
01
—
P476668
OXFORD
CT
Enumeration date
09/21/2005
Last updated
10/01/2012
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