Individual provider · Type 1 NPI

Kenneth Maisak, DPM

Foot & Ankle Surgery Podiatrist · Portland, ME

NPI number 1710125596 Active

About NPI 1710125596

Kenneth Maisak, DPM's National Provider Identifier is 1710125596, issued on Feb 2, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Portland, ME. The record was last updated on Sep 5, 2012.