Individual
DR. KATELIN MICHELE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
34435 KING STREET ROW # 1, LEWES, DE 19958-4787
(302) 644-1300
Mailing address
34435 KING STREET ROW # 1, LEWES, DE 19958-4787
(302) 644-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0013345
DE
207Q00000X
Family Medicine Physician
H0079082
MD
207Q00000X
Family Medicine Physician
OT014873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
417898ZAXB
MEDICARE PTAN
MD
Enumeration date
08/29/2012
Last updated
10/29/2019
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