Doctor Name: | KELLI CHARI TYLER HAYES |
NPI Number: | 1003084567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 688780 |
Business Practice Address: | 7008 Indiana Ave Ste A Lubbock, TX - 794136114 |
Business Phone Number: | 8066988088 |
Business Fax Number: | 8066988588 |
Mailing Address: | 7008 Indiana Ave, Ste A LUBBOCK |
State: | TX |
Postal Code: | 794136114 |
Phone Number: | 8066988088 |
Fax Number: | 8066988588 |
NPI Enumeration Date: | 02/18/2008 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 688780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |