| Larry W Maynard, Md | |
|
1030 Brookhaven Rd Franklin KY 42134-2745 | |
| (270) 586-1800 | |
| (270) 598-4930 |
| Full Name | Larry W Maynard, Md |
|---|---|
| Speciality | Clinic/center |
| Location | 1030 Brookhaven Rd, Franklin, Kentucky |
| Authorized Official Name and Position | Larry W Maynard (OWNER) |
| Authorized Official Contact | 2705861800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Maynard, Md Po Box 366 Franklin KY 42135-0366 Ph: (270) 586-1800 | Larry W Maynard, Md 1030 Brookhaven Rd Franklin KY 42134-2745 Ph: (270) 586-1800 |
| NPI Number | 1235231564 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235231564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 16825 (Kentucky) | Primary |
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