Individual provider · Type 1 NPI

Sean E. Maynard, PA-C

Medical Physician Assistant · Campbellsville, KY

NPI number 1962494716 Active

Practice location

73 Kingswood Dr
Campbellsville, KY 42718-9604

Fax (270) 465-2126

Mailing address

67 Kingswood Dr
Campbellsville, KY 42718-9647

Other practice locations

  • 67 Kingswood Dr, Campbellsville, KY 42718-9647 · (270) 465-3812
  • 95 Kingswood Dr, Campbellsville, KY 42718-9604 · (270) 465-3812

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XPA592 (KY)
Medical Physician Assistant Primary 363AM0700XPA592 (KY)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1962494716

Sean E. Maynard, PA-C's National Provider Identifier is 1962494716, issued on Aug 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Campbellsville, KY. The record was last updated on Feb 27, 2024.