Maynard, Allen

Maynard, Allen is an individual health care provider with primary practice located at 17401 Kentucky Hwy 80 East , Elkhorn City KY 41522-8210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Maynard, Allen can be contacted via phone (606) 754-3131.

Contact Information

Primary practice address
17401 Kentucky Hwy 80 East Elkhorn City KY 41522-8210
Phone: (606) 754-3131
Fax: (606) 754-4554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X PA953 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA953 Kentucky

Profile Details

NPI number 1134300932
LBN Legal business name Maynard, Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Jul 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134300932 NPPES
Kentucky Other P0131826 RR MEDICARE PTAN
Kentucky MEDICAID 71000055500 RR MEDICARE PTAN

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