Individual
SAMANTHA BROOKE HAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2659 NORTH LAUREL RD, EAST BERNSTADT, KY 40729-0495
(606) 843-6195
(606) 843-6195
Mailing address
PO BOX 398, ANNVILLE, KY 40402-0398
(606) 364-5162
(606) 364-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52892
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100565880
—
KY
Enumeration date
06/07/2017
Last updated
07/30/2020
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