Organization
LARRY W MAYNARD, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY W MAYNARD MD (OWNER)
(270) 586-1800
Entity
Organization
Contact information
Practice address
1030 BROOKHAVEN RD, FRANKLIN, KY 42134-2745
(270) 586-1800
(270) 598-4930
Mailing address
PO BOX 366, FRANKLIN, KY 42135-0366
(270) 586-1800
(270) 598-4930
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16825
KY
Other
Enumeration date
09/05/2006
Last updated
02/14/2008
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