Individual
JACOB TYLER MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
638 STONECOAL RD, KERMIT, WV 25674-8196
(681) 264-2505
Mailing address
638 STONECOAL RD, KERMIT, WV 25674-8196
(681) 264-2505
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us