Individual
KENNETH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 SMITHFIELD DR, SAGAMORE HILLS, OH 44067-3152
(216) 903-5260
Mailing address
860 SMITHFIELD DR, SAGAMORE HILLS, OH 44067-3152
(216) 903-5260
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
SL595384
OH
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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