Individual
DR. PATRICK KEVIN HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1719 NASHVILLE ST, SUITE C, RUSSELLVILLE, KY 42276-8855
(270) 726-7664
(270) 726-9997
Mailing address
1719 NASHVILLE ST, SUITE C, RUSSELLVILLE, KY 42276-8855
(270) 726-7664
(270) 726-9997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1493701
INDIVIDUAL PIN
KY
05
—
64267966
—
KY
05
—
65929481
—
KY
Enumeration date
08/31/2006
Last updated
03/05/2008
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