Jacob Tyler Maynard
Jacob Tyler Maynard is an Attendant Care Provider in Kermit, West Virginia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
638 Stonecoal RdKermit, WV 25674-8196
Phone: (681) 264-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1386588291 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2026 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
| Mailing address | 638 Stonecoal Rd, Kermit, WV 25674-8196 |