Haines, Kelly Aleen

Haines, Kelly Aleen is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haines, Kelly Aleen can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60438941 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4272 Arizona

Profile Details

NPI number 1538437611
LBN Legal business name Haines, Kelly Aleen
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2011
Last updated Apr 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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