Individual
MICHAEL LYNN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
310 W 5TH ST, BENTON, KY 42025-1102
(270) 527-9983
(270) 527-9593
Mailing address
310 W 5TH ST, BENTON, KY 42025-1102
(270) 527-9983
(270) 527-9593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1318DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013183
—
KY
Enumeration date
06/13/2006
Last updated
10/06/2011
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