HAYNES CLINIC INC NPI 1982273421

NPI Information

HAYNES CLINIC INC is a health service clinic center in Kansas City, MO. HAYNES CLINIC INC NPI is 1982273421. The provider is registered as an organization entity type.
The provider Is Doing Business As The Haynes Clinic Incorporated.

The provider's business location address is:

4609 PASEO BLVD STE 101
KANSAS CITY, MO
ZIP 64110-843
Phone: (816) 739-2727

The provider's authorized official is Michele Linnette Davis .
The authorized official title is President and has the following contact phone number (816) 739-2727.

The CLIA number assigned to this NPI record is 26D2221932 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2021 and was last updated on 7/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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