Individual
KELLY ANN HAYZLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1545 OSCEOLA ST, DENVER, CO 80204-1445
(303) 994-2821
Mailing address
3240 FORT RD, TOPPENISH, WA 98948, HERITAGE UNIVERSITY PHYSICIAN ASSISTANT PROGRAM, TOPPENISH, WA 98948
(509) 865-0707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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