Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Maxwell, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1184044190

Dr. Kevin Maxwell, MD is a Diagnostic Radiology in Salt Lake City, Utah. Qualified in 2014, 12 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 268-7111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 E 3900 S, Salt Lake City, UT 84124-1300 — (801) 268-7111

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 11785838-1205 (UT)

Record details

NPI number1184044190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Salt Lake City