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Individual

MS. KIMBERLY KAY HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, DNP, APR

Contact information

Practice address
10730 NALL AVE STE 201, OVERLAND PARK, KS 66211-1210
(913) 945-7000
(913) 945-9860
Mailing address
10730 NALL AVENUE, SUITE 201, OVERLAND PARK, KS 66211
(913) 945-7000
(913) 645-9860

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
53-74782-012
KS
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
5374782012
KS

Other

Enumeration date
09/15/2010
Last updated
11/27/2023
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