Individual provider · Type 1 NPI

Larry Kevin Maynard

Contractor · Old Town, FL

NPI number 1629479712 Active

Practice location

80 NE 758th St
Old Town, FL 32680-9678

Fax (352) 542-1634

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1629479712

Larry Kevin Maynard's National Provider Identifier is 1629479712, issued on Sep 9, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Old Town, FL. The record was last updated on Sep 9, 2014.