Individual
KIMBERLY HARPER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
414 OLD MORGANTOWN ROAD, BOWLING GREEN, KY 42101
(270) 781-1483
Mailing address
1306 JAMES EDWARD COURT, BOWLING GREEN, KY 42103
(270) 783-4424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103455
KY
363LF0000X
Family Nurse Practitioner
Primary
6184P
KY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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