Individual
MISS KELLEY D HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
319 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 676-1111
(276) 676-1112
Mailing address
319 FALLS DR, ABINGDON, VA 24210
(276) 676-1111
(276) 676-1112
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101001707
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101001707
DISPENSING LICENSES
VA
Enumeration date
10/07/2016
Last updated
10/07/2016
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