Individual
DEBORAH G HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N CYPRESS DR, WICHITA, KS 67226-4003
(316) 683-4334
(316) 687-3645
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18726
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719182
MEDICARE
—
05
—
100207380B
—
KS
Enumeration date
04/20/2006
Last updated
05/15/2014
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