Healthcare Provider Details

I. General information

NPI: 1679494686
Provider Name (Legal Business Name): HAYDEN FELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N EAGLE CREEK DR
LEXINGTON KY
40509-1805
US

IV. Provider business mailing address

349 VINCENNES ST
NEW ALBANY IN
47150-1619
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5000
  • Fax:
Mailing address:
  • Phone: 812-725-6694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4024236
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: