Healthcare Provider Details

I. General information

NPI: 1952241457
Provider Name (Legal Business Name): KENDYL HAYES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 AIRPORT BLVD
PENSACOLA FL
32504-8616
US

IV. Provider business mailing address

5212 OLD BERRYHILL RD
MILTON FL
32570-8036
US

V. Phone/Fax

Practice location:
  • Phone: 850-474-4777
  • Fax: 850-484-2656
Mailing address:
  • Phone: 850-776-7082
  • Fax: 850-776-7082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN9579414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: