Individual
DR. JAMES PAUL MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE 6TH FL, FORT THOMAS, KY 41075-1793
(859) 572-3452
(859) 572-3414
Mailing address
2590 SPRING MILL PL, BURLINGTON, KY 41005-8501
(859) 586-2214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40199
KY
2084N0400X
Neurology Physician
Primary
40199
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
40199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696435
—
OH
05
—
64127350
—
KY
Enumeration date
07/19/2006
Last updated
11/09/2010
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