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

Sean E Maynard, PA-C

Individual provider Internal Medicine Physician · NPI 1962494716

Sean E Maynard, PA-C is a Physician Assistant in Campbellsville, Kentucky. Qualified in 2000, 26 years ago. Practices with Taylor Regional Medical Group LLC, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
26
Licensed in
KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

73 Kingswood Dr
Campbellsville, KY 42718-9604
Phone: (270) 849-2379
Fax: (270) 465-2126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 95 Kingswood Dr, Campbellsville, KY 42718-9604 — (270) 465-3812
  • 67 Kingswood Dr, Campbellsville, KY 42718-9647 — (270) 465-3812

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA592 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence PA592 (KY)

Record details

NPI number1962494716
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address67 Kingswood Dr, Campbellsville, KY 42718-9647

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Taylor Regional Medical Group Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Campbellsville