Individual
KELLI MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15604 PINEHURST DR STE 3, BASEHOR, KS 66007-8234
(913) 342-8665
Mailing address
15604 PINEHURST DR STE 3, BASEHOR, KS 66007-8234
(913) 342-8665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77637
KS
Other
Enumeration date
03/10/2017
Last updated
10/16/2023
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