Individual
BETHANY ALEXANDER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1370 ROGERSVILLE RD, RADCLIFF, KY 40160-9344
(270) 351-2323
(270) 351-8031
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 351-2323
(270) 351-8031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48995
KY
208000000X
Pediatrics Physician
48995
KY
Other
Enumeration date
04/04/2012
Last updated
10/05/2016
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