Individual
KEDRA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1850 ROSSER AVE, WAYNESBORO, VA 22980-3237
(540) 942-1200
(540) 942-0151
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110010979
VA
363A00000X
Physician Assistant
Primary
0110010979
VA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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