| NPI | 1699961391 |
|---|---|
| Former Name | KELLY B HAYNIE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WV 58641) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |