Individual
KAREN S. HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
44778
KS
363LF0000X
Family Nurse Practitioner
Primary
2013010843
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383580A
—
KS
01
—
160479
BLUE CROSS BLUE SHIELD
KS
01
—
500014824
RAIL ROAD MEDICARE
—
01
—
66720A035
TRICARE
—
Enumeration date
06/24/2005
Last updated
07/31/2013
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