IndividualActive
Kevin Maxwell, PA
NPI 1003071952 · Medical Physician Assistant · Oklahoma City, OK
Provider details
- NPI number
- 1003071952
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 638 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1111 N Lee Ave Ste 105
Oklahoma City, OK 73103-2620
Phone: (405) 600-6730
Fax: (405) 600-6750
Approximate (ZIP-level) locationGet directions
Mailing address
1111 N Lee Ave Ste 105
Oklahoma City, OK 73103-2620
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.