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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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