Maynor, Kenric Allen
Maynor, Kenric Allen is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Maynor, Kenric Allen can be contacted via phone (570) 826-7300.Contact Information
Primary practice address
1000 E Mountain Dr
Wilkes Barre PA 18711-0027
Phone: (570) 826-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D62818 | Maryland |
Profile Details
| NPI number | 1831148931 |
|---|---|
| LBN Legal business name | Maynor, Kenric Allen |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 21st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831148931 | NPPES |
| Maryland | MEDICAID | 408307500 |
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