Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 8603 | KY |
Y | 213EG0000X | General Practice | 8603 | KY |
NPI | 1003076449 |
---|---|
Provider Name | Dr. Henry Spencer Hays |
First Address | London, KY 40741-1935 |
Second Address | Barbourville, KY 40906-1720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 12/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100046170 | (05) | KY |