Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MITCHUM MAYNARD, D.O.
ActiveKENNETH MITCHUM MAYNARD, D.O. is a Family Medicine healthcare provider located in LIZTON, Indiana. NPI 1730103730 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIZTON, IN
Registration Details
- NPI Number
- 1730103730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.048381214898 yrs)
- Last Updated
- Mar 8, 2021
- License
-
02000836A (IN)
Practice Information
- Address
-
1045 WYATT WAYLIZTON, IN, 461499583Browse IN providers · Browse ZIP 46149
- Phone
- 3179946600
- Fax
- 3179946605
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LIZTON, IN
| Name | Credential | NPI |
|---|---|---|
| DAVID M STOPPERICH | M.D. | 1265410906 |
| JENNIFER L BEHRENS | MD | 1023402583 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.