Haycock, Kimberly Dawn

Haycock, Kimberly Dawn is an individual health care provider with primary practice located at 1303 N Main St , Cedar City UT 84721-9746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Haycock, Kimberly Dawn can be contacted via phone (435) 868-5251.

Contact Information

Primary practice address
1303 N Main St Cedar City UT 84721-9746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5170865-1206 Utah

Profile Details

NPI number 1205862208
LBN Legal business name Haycock, Kimberly Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 10th, 2016 - about 8 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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