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Individual

JEFFREY SCOTT HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
57950 LEAVENWORTH ST STE 4E1, MCCONNELL AFB, KS 67221-3506
(316) 759-2711
Mailing address
57950 LEAVENWORTH ST STE 4E1, MCCONNELL AFB, KS 67221-3506
(316) 759-2711

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5705
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
817448
TEXAS
TX
Enumeration date
05/23/2007
Last updated
01/26/2016
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