Individual
KENNETH H. HAYMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
941 SPRING CREEK RD, CHATTANOOGA, TN 37412-3909
(423) 894-7870
(865) 539-8008
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127043
BLUE CROSS
TN
05
—
3009342
—
TN
01
—
3145762
BCBS OF TENNESSEE
TN
05
—
3327041
—
TN
01
—
P00192338
RAILROAD MEDICARE
TN
Enumeration date
06/30/2006
Last updated
11/20/2007
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