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Individual

KEVIN PATRICK HAYNES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8987
(225) 765-8667
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8987
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1013543974
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2020
Last updated
05/24/2024
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