IndividualActive
Jacob Maynard
NPI 1386588291 · Attendant Care Provider · Kermit, WV
Provider details
- NPI number
- 1386588291
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
638 Stonecoal Rd
Kermit, WV 25674-8196
Phone: (681) 264-2505
Approximate (ZIP-level) locationGet directions
Mailing address
638 Stonecoal Rd
Kermit, WV 25674-8196
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.