Organization Name: | BERNARD L HAYDEN MD PSC |
NPI Number: | 1013072883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERNARD L HAYDEN (DOCTOR) |
Mailing Address: | 3929 Old Us Hwy 45 South Paducah |
State: | KY US |
Postal Code: | 42003 |
Phone Number: | 2705540797 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 16249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |