Individual
KERI ANN MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
137 SUNSHINE ACRES RD, BENTON, KY 42025-7035
(270) 508-0601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018798
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3018798
KENTUCKY BOARD OF NURSING
KY
Enumeration date
02/06/2023
Last updated
02/06/2023
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