MEDICARE: CHRISTOPHER D MAXWELL MD

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
1	207Q00000X	Family Medicine Physician	W0443	TX
2	207Q00000X	Family Medicine Physician	2002014283	MO

General Provider Information

NPI Number	:	1740278464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER D MAXWELL MD

Provider Business Mailing Address
First Line	:	2316 TWIN OAKS DR
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4212
Country	:	US
Telephone Number	:	816-878-3652
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 W 9TH ST FL 2
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1705
Country	:	US
Telephone Number	:	410-570-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	10/28/2025

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