Larry W Maynard, Md

NPI 1235231564 - Clinic/Center - 261Q00000X

NPI Details
NPI 1235231564
Enumeration Date 09/05/2006
Last Updated 02/14/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LARRY W LARRY
Position OWNER
Phone (270) 586-1800
Fax (270) 598-4930
Practice Location
1030 BROOKHAVEN RD
FRANKLIN KY, 42134-2745, US
Phone (270) 586-1800
Fax (270) 598-4930
Business Location
PO BOX 366
FRANKLIN KY, 42135-0366, US
Phone (270) 586-1800
Fax (270) 598-4930
Toxanomy
Taxonomy Code 261Q00000X
License State Kentucky
License Number 16825
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According to our database, Larry W Maynard, Md NPI is 1235231564, taxonomy code is 261Q00000X and license number is 16825, license state is located at Kentucky. Larry W Maynard, Md physically located at 1030 Brookhaven Rd, Franklin KY, 42134-2745. NPI Number 1033115704 has the healthcare provider type.

1235231564 NPI number is provided on an as is basis without warranty of any kind. 1235231564 is maintained by the National Plan & Provider Enumeration System. The contents of Larry W Maynard, Md are for informational purposes only.