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Individual

SCOTT M. HAYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609
Mailing address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015000863
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437542826
MO
01
P01453159
RR MEDICARE
MO
Enumeration date
03/10/2015
Last updated
04/20/2017
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