IndividualActive
Clay Maxson, RN
NPI 1407669203 · Emergency Registered Nurse · Kokomo, IN
Provider details
- NPI number
- 1407669203
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 28245948C (IN)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 452-5611
Approximate (ZIP-level) locationGet directions
Mailing address
216 Promise Ln Apt 303
Lafayette, IN 47905-5052
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.