Doctor Name: | DR. BRENT JOSEPH HAYDEN |
NPI Number: | 1184919656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1201 Pleasant Valley Rd Owensboro, KY - 423039811 |
Business Phone Number: | 2704174700 |
Business Fax Number: | 2704174709 |
Mailing Address: | Po Box 23229, OWENSBORO |
State: | KY |
Postal Code: | 423043229 |
Phone Number: | 2706881330 |
Fax Number: | 2706881338 |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |