Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 46505 | KY |
N | 208200000X | Surgeon | 2011006552 | MO |
N | 208600000X | Surgeon | 2011006552 | MO |
NPI | 1528133402 |
---|---|
Provider Name | Dr. Erin C Maynard |
First Address | Lexington, KY 40536-0293 |
Second Address | Lexington, KY 40536-0293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2006 |
Last Update Date | 23/05/2014 |