Individual
MITCHELL DALTON HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 262-3055
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 262-3055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2434DT
KY
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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