Maxwell, Kathleen T

Maxwell, Kathleen T is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maxwell, Kathleen T can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-019941 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 3152-NS Ohio

Profile Details

NPI number 1972520781
LBN Legal business name Maxwell, Kathleen T
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972520781 NPPES
Ohio Other 000000224402 UNISON
Ohio Other 000000372630 UNISON
Ohio MEDICAID 1018896160001 UNISON
Ohio MEDICAID 2582192 UNISON
Ohio Other 363818 UNISON
Ohio Other 7768662 UNISON
Ohio Other 000000526142 UNISON
Ohio Other 750908 UNISON

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