Individual
KEN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BORTHWICK AVE STE 300, PORTSMOUTH, NH 03801-7109
(603) 433-4666
(603) 433-1338
Mailing address
330 BORTHWICK AVE STE 300, PORTSMOUTH, NH 03801-7109
(603) 433-4666
(603) 433-1338
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24589
NH
207T00000X
Neurological Surgery Physician
BP10052651
TX
207T00000X
Neurological Surgery Physician
MD18183
RI
Other
Enumeration date
04/23/2014
Last updated
03/04/2025
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