Individual
BRENT MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
Mailing address
140 THORLONE AVE, AKRON, OH 44312-1851
(702) 533-1847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1173238
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3016613
KY
Other
Enumeration date
07/10/2021
Last updated
02/08/2023
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