Maynard, Kimberly
Maynard, Kimberly is an sole proprietor health care provider with primary practice located at 174 Ranch Lake Blvd , Scott Depot WV 25560-9650. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Maynard, Kimberly can be contacted via phone (304) 993-4869.Contact Information
Primary practice address
174 Ranch Lake Blvd
Scott Depot WV 25560-9650
Phone: (304) 993-4869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1386215408 |
|---|---|
| LBN Legal business name | Maynard, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2021 |
| Last updated | Jul 9th, 2021 - about 5 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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