Individual
MR. KENNETH WILLIAM HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
(919) 286-6947
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
(919) 286-6947
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
137195
NC
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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