person
Larry Omar Maggard, APRN-C,FNP
Family Nurse Practitioner in Richmond, Kentucky
NPI 1184140907

Larry Omar Maggard is a Family Nurse Practitioner based in Winchester, KY and is specialized in Family. Larry Omar Maggard practices in Richmond, KY and has the professional credentials of APRN-C,FNP. The NPI Number for Larry Omar Maggard is 1184140907 and holds a License No. 3011468 (Kentucky).

The current practice location address for Larry Omar Maggard is 235 Boggs Ln Ste 1, Richmond, KY and can be reached out via phone at 859-376-1363 and via fax at 859-376-1362. You can also correspond with Larry Omar Maggard through the mailing address at 5 FONTAINE BLVD, WINCHESTER, KY - 40391-9214 (mailing address contact number: 859-749-8266).

Location: 235 Boggs Ln Ste 1, Richmond, KY, 40391-9214
person
Provider Profile Details
NPI Number
1184140907
Provider Name
Larry Omar Maggard
Credential
APRN-C,FNP
Provider Entity Type
Individual
Gender
Male
Address
235 Boggs Ln Ste 1, Richmond, KY, 40391-9214
Phone Number
859-376-1363
Fax Number
859-376-1362
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100495320 05 KY
institution
Provider Business Practice Location Address Details
Address
235 Boggs Ln Ste 1
City
State
Zip
40475-3325
Phone Number
859-376-1363
Fax Number
859-376-1362
person
Provider Business Mailing Address Details
Address
235 Boggs Ln Ste 1
City
State
Zip
40475-3325
Phone Number
859-376-1363
Fax Number
859-376-1362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3011468 (Kentucky)
Definition
Definition to come...
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