Haynes, Kathryn Dixon
Haynes, Kathryn Dixon is an individual health care provider with primary practice located at 750 Morton Blvd , Hazard KY 41701-9469. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Haynes, Kathryn Dixon can be contacted via phone (606) 439-1559.Contact Information
Primary practice address
750 Morton Blvd
Hazard KY 41701-9469
Phone: (606) 439-1559
Fax: (606) 439-1422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | KY5767 | Kentucky |
Profile Details
| NPI number | 1720108921 |
|---|---|
| LBN Legal business name | Haynes, Kathryn Dixon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Oct 26th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720108921 | NPPES |
| Kentucky | MEDICAID | 60057676 |
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