Individual
SUSAN L HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 381-3172
Mailing address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 381-3172
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4259P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013935
—
KY
Enumeration date
12/13/2007
Last updated
12/13/2007
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