IndividualActive
Kevin Maxwell, M.D.
NPI 1184044190 · Vascular & Interventional Radiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1184044190
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11785838-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 268-7111
Approximate (ZIP-level) locationGet directions
Mailing address
1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Additional practice locations (1)
- 1200 E 3900 SSalt Lake City, UT 84124-1300Phone: (801) 268-7111
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.