Individual
KEVIN SCOTT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 4TH AVE, SUITE 240, SAN DIEGO, CA 92103-2120
(619) 291-6064
(619) 291-3078
Mailing address
4060 4TH AVE, SUITE 240, SAN DIEGO, CA 92103-2120
(619) 291-6064
(619) 291-3078
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A40741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ81882Z
—
CA
Enumeration date
03/20/2006
Last updated
07/07/2010
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