Individual
KIM K. HAYNES-HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 596-4200
(402) 596-4240
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 596-4200
(402) 596-4240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22821
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557501
—
NE
Enumeration date
05/12/2006
Last updated
05/05/2014
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