(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003550245
Provider Name: MELISSA MAYNARD
Entity Type: Individual
Taxonomy Code: 171M00000X
Specialty: Case Manager/Care Coordinator
License Number:
Most Important Dates
Enumeration Date: 04/25/2022
Last Updated: 04/25/2022
Provider Practice Location
125 S MAIN CROSS ST
LOUISA
KY
412301065
Practice Location Phone/Fax
Phone: 6066380938
Fax:
Provider Mailing Location
125 S MAIN CROSS ST
LOUISA
KY
412301065
Provider Mailing Phone/Fax
Phone: 6066380938
Fax: