Organization
PIKEVILLE MEDICAL OFFICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN R MAYNARD PA-C (MANAGER)
(606) 432-0168
Entity
Organization
Contact information
Practice address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Mailing address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
KY
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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