Organization
JOYCE A HAISLIP, MD.,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GRANT (OFFICE MANAGER)
(270) 852-6600
Entity
Organization
Contact information
Practice address
920 FREDERICA ST, STE 306, OWENSBORO, KY 42301
(270) 852-6600
(270) 852-6611
Mailing address
920 FREDERICA ST, STE 306, OWENSBORO, KY 42301
(270) 852-6600
(270) 852-6611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65945099
—
KY
Enumeration date
05/23/2006
Last updated
08/22/2020
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