Individual
KELLEY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS
Contact information
Practice address
708 S MILLER ST, SANTA MARIA, CA 93454-6230
(805) 710-7596
Mailing address
1463 RASPBERRY AVE, ARROYO GRANDE, CA 93420-6719
(805) 710-7596
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
546120
CA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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