Individual
DR. SHELDON HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD (DHM)
Contact information
Practice address
5119 NW KENDALL CT, TOPEKA, KS 66618-1269
(785) 817-1893
(785) 578-0009
Mailing address
5119 NW KENDALL CT, TOPEKA, KS 66618-1269
(785) 817-1893
(785) 578-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
KS-ASCX12N
KS
2084N0400X
Neurology Physician
Primary
KS04-64104
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7495262273
STATE LICENSE NO.
KS
05
—
BH5617545
—
KS
05
—
C23124507
—
KS
05
—
G23123897
—
KS
01
—
KS04-64104
LICENCE NUMBER
KS
05
—
W23124507C
—
KS
Enumeration date
09/01/2023
Last updated
02/20/2024
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