Individual
HALEY HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2327 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 534-5128
(270) 477-0007
Mailing address
5050 VILLAGE SQUARE DR STE B, PADUCAH, KY 42001-7552
(270) 534-5128
(270) 477-0007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2476
KY
363AM0700X
Medical Physician Assistant
PA2476
KY
363AS0400X
Surgical Physician Assistant
PA2476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2476
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
01/29/2019
Last updated
11/03/2025
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