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NPI Code Detail

MEDICARE: DR. KESSA MAURAS DPM

MEDICARE: DR. KESSA MAURAS DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristDP153769OR
2213ES0103XFoot & Ankle Surgery PodiatristN006318NY
3213E00000XPodiatrist80239MS

General Provider Information

NPI Number : 1326363839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KESSA MAURAS DPM
Provider Business Mailing Address
First Line : 800 N PEARMAN AVE
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-3502
Country : US
Telephone Number : 888-757-0838
Fax Number :
Provider Business Practice Location Address
First Line : 800 N PEARMAN AVE
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-3502
Country : US
Telephone Number : 888-757-0838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 12/29/2021

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Directions to “ DR. KESSA MAURAS DPM” Practice Location

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