HomeNPI Verification

NPI Verification

National Provider Identifier: 1790712883

Keegan Lawrence Maxwell, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

2351 CONNECTICUT AVE S

SUITE 200

SARTELL, MN 563772477

Phone: 320-259-1411

NPI Enumeration Date

June 26, 2006

NPI Number

1790712883

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry