Individual
DR. JEREMY ALLEN HAYSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MEDICAL GROUP/88 SGC, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
589 GARDEN DR, LOUISVILLE, KY 40206-2966
(502) 727-1021
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
01088956A
IN
207L00000X
Anesthesiology Physician
35.137187
OH
207L00000X
Anesthesiology Physician
52648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100362040
—
KY
Enumeration date
04/03/2014
Last updated
02/17/2026
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