Organization
ZEBULON PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L MAYNARD MD (PRESIDENT)
(606) 433-0720
Entity
Organization
Contact information
Practice address
774 RAMEY FRK, RACCOON, KY 41557-8356
(606) 432-2887
Mailing address
PO BOX 203, RACCOON, KY 41557-0203
(606) 432-2887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37264
KY
363LF0000X
Family Nurse Practitioner
3774P
KY
Other
Enumeration date
08/31/2006
Last updated
02/12/2021
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