Individual
BRETT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15435 W 134TH PL, 101, OLATHE, KS 66062-6135
(913) 780-0030
(913) 782-2942
Mailing address
15435 W 134TH PL, 101, OLATHE, KS 66062-6135
(913) 780-0030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75776
KS
Other
Enumeration date
11/09/2012
Last updated
06/11/2013
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