Healthcare Provider Details

I. General information

NPI: 1023375433
Provider Name (Legal Business Name): HAYLEY HARRIS MARTINS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8625 COLLEGE BLVD STE 103
OVERLAND PARK KS
66210-2192
US

IV. Provider business mailing address

8625 COLLEGE BLVD STE 103
OVERLAND PARK KS
66210-2192
US

V. Phone/Fax

Practice location:
  • Phone: 913-777-0077
  • Fax:
Mailing address:
  • Phone: 913-777-0077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number036150950
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number05-51033
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number05-51033
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: