Individual
KRISTIE D HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1053
(402) 552-7928
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18245
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902855257
—
IA
05
—
47068731742
—
NE
Enumeration date
05/06/2006
Last updated
11/13/2019
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