Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3002969 | KY |
NPI | 1013971639 |
---|---|
Provider Name | Ms. Peggy A Hays |
First Address | Mayfield, KY 42066-3115 |
Second Address | Mayfield, KY 42066-3115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 05/11/2014 |