Individual
DR. KIRK C. MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16016 EVANS ST, SUITE 101, OMAHA, NE 68116-6457
(402) 493-3224
(402) 493-4041
Mailing address
16016 EVANS ST, SUITE 101, OMAHA, NE 68116-6457
(402) 493-3224
(402) 493-4041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046007646
IL
152W00000X
Optometrist
Primary
1251
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47048659410
—
NE
Enumeration date
09/14/2005
Last updated
04/02/2014
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