Individual
KIMBERLY DAWN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
74 W TACKETT DR, TEABERRY, KY 41660-6321
(606) 587-2132
(606) 587-1314
Mailing address
74 W TACKETT DR, TEABERRY, KY 41660-6321
(606) 587-2132
(606) 587-1314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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