Individual
MISTY M HAYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST,CSFA
Contact information
Practice address
2211 MAYFAIR DR STE 305, OWENSBORO, KY 42301-4572
(270) 688-2720
(270) 688-2729
Mailing address
PO BOX 23329, OWENSBORO, KY 42304-3229
(270) 688-2720
(270) 688-2729
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
132002
KY
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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