# PIKEVILLE MEDICAL OFFICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225270861
- **Authorized official:** ALLEN R MAYNARD PA-C (MANAGER)
- **Authorized official phone:** (606) 432-0168

## Contact information

- **Practice address:** 180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
- **Practice address phone:** (606) 432-0168
- **Practice address fax:** (606) 432-0639
- **Mailing address:** 180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
- **Mailing address phone:** (606) 432-0168
- **Mailing address fax:** (606) 432-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | KY | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 03/27/2009