Individual
KENNETH HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
2319 NAUDAIN ST, PHILADELPHIA, PA 19146-1119
(616) 581-1909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301504549
MI
207L00000X
Anesthesiology Physician
MD471145
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT211095
MI
Other
Enumeration date
05/23/2016
Last updated
08/11/2025
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