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NPI Code Detail

MEDICARE: KEAGAN PAIGE HAYNES

MEDICARE: KEAGAN PAIGE HAYNES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant8697LA

General Provider Information

NPI Number : 1841906328
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEAGAN PAIGE HAYNES
Provider Business Mailing Address
First Line : 17520 OLD JEFFERSON HWY
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3903
Country : US
Telephone Number : 225-300-6710
Fax Number :
Provider Business Practice Location Address
First Line : 17520 OLD JEFFERSON HWY
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3903
Country : US
Telephone Number : 225-300-6710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2023
Last Update Date : 01/27/2023

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Directions to “ KEAGAN PAIGE HAYNES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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