Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Mitchum Maynard, DO

Individual provider Family Medicine Physician · NPI 1730103730

Kenneth Mitchum Maynard, DO is a Family Practice in Lizton, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1984, 42 years ago. Licensed in Indiana.

Years since qualifying
42
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1045 Wyatt Way
Lizton, IN 46149-9583
Phone: (317) 994-6600
Fax: (317) 994-6605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02000836A (IN)

Record details

NPI number1730103730
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address1100 Southfield Dr, Suite 1370, Plainfield, IN 46168-4498

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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