Provider Demographics
NPI:1982938650
Name:HAYES, DAVID KENT (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:KENT
Last Name:HAYES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 1/2 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-1138
Mailing Address - Country:US
Mailing Address - Phone:913-294-9993
Mailing Address - Fax:913-294-9991
Practice Address - Street 1:820 1/2 N PEARL ST
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1138
Practice Address - Country:US
Practice Address - Phone:913-294-9993
Practice Address - Fax:913-294-9991
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor