Individual
MR. KENNY D MAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
1400 CUMBERLAND FALLS HWY STE C, CORBIN, KY 40701-2739
(606) 528-2149
(606) 528-2338
Mailing address
1400 CUMBERLAND FALLS HWY STE C, CORBIN, KY 40701-2739
(606) 528-2149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
134170
KY
225XE1200X
Ergonomics Occupational Therapist
134170
KY
225XH1200X
Hand Occupational Therapist
Primary
134170
KY
Other
Enumeration date
05/15/2008
Last updated
03/17/2025
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