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Individual

AMY J HAYNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1913 S MAIN ST, MADISONVILLE, KY 42431-3353
(270) 297-4488
Mailing address
1035 BELL DR, MADISONVILLE, KY 42431-2333

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3005162
KY
363LP0200X
Pediatric Nurse Practitioner
5162P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100278310
KY
Enumeration date
03/06/2007
Last updated
03/16/2026
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