Individual
KIMBERLY RENEE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 HMB CIR, FRANKFORT, KY 40601-5376
(502) 223-5811
(502) 227-7379
Mailing address
PO BOX 4168, FRANKFORT, KY 40604-4168
(502) 223-5811
(502) 227-7379
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002325
—
KY
Enumeration date
06/17/2005
Last updated
01/21/2008
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