Provider Information for 1972378719
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KELLY SEAN HAYES
Sex: Male
NPI: 1972378719
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972378719 | ||||||||
| Enumeration Date | 2023-11-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6952 GRAND RIVER RD RIVES JUNCTION, MI 49277-9512 United States Phone: 517-290-0252 | Fax: | ||||||||
| Primary Practice Address | 6952 GRAND RIVER RD RIVES JUNCTION, MI 49277-9512 United States Phone: 517-290-0252 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|