Search › Arizona › 363A00000X
Kyle Maxum
NPI 1225805211 · on the registry since 2023
Practice
- Address
- Corner Of Route N12 And N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
- Organisation at this address
- Fort Defiance Indian Hospital Board, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 302
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona