Individual
DR. PAUL L MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3889 N MAYO TRL # 200, PIKEVILLE, KY 41501-3213
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37264
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
37264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65937948
—
KY
Enumeration date
08/31/2006
Last updated
01/04/2023
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