Individual
MICHAEL HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 922-2479
Mailing address
10404 E 79TH ST, RAYTOWN, MO 64138-2207
(816) 929-5537
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
2015014702
MO
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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