Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD442989 | PA |
N | 111NI0900X | Internist | MD442989 | PA |
Y | 207RH0003X | Hematology & Oncology | MD442989 | PA |
NPI | 1063670495 |
---|---|
Provider Name | Dr. Kara Noelle Maxwell |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 19/09/2019 |