Maynard, Paul L

Maynard, Paul L is an sole proprietor health care provider with primary practice located at 3889 N Mayo Trl # 200 , Pikeville KY 41501-3213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Maynard, Paul L can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
3889 N Mayo Trl # 200 Pikeville KY 41501-3213
Phone: (833) 510-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37264 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 37264 Kentucky

Profile Details

NPI number 1568573152
LBN Legal business name Maynard, Paul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568573152 NPPES
Kentucky MEDICAID 65937948

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