Individual
DR. SHELDON HAYNES
Active
Individual
DR. SHELDON HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD (DHM)
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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