Herndon, Haley

Herndon, Haley is an individual health care provider with primary practice located at 2327 New Holt Rd , Paducah KY 42001-7404. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Herndon, Haley can be contacted via phone (270) 534-5128.

Contact Information

Primary practice address
2327 New Holt Rd Paducah KY 42001-7404
Phone: (270) 534-5128
Fax: (270) 477-0007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2476 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2476 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2476 Kentucky

Profile Details

NPI number 1508320078
LBN Legal business name Herndon, Haley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Jul 15th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1508320078 NPPES
Kentucky Other PA2476 KENTUCKY BOARD OF MEDICAL LICENSURE

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