Individual
MRS. KATHLEEN BLAKE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, PRIMARY CARE, MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-7101
(603) 356-5461
Mailing address
3073 WHITE MOUNTAIN HWY, PO BOX 5001, NORTH CONWAY, NH 03860-7101
(603) 356-5461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
067211-23
NH
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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