Healthcare Provider Details

I. General information

NPI: 1003812918
Provider Name (Legal Business Name): KAREN S. HAYES N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 BAGNELL DAM BLVD
LAKE OZARK MO
65049-8658
US

IV. Provider business mailing address

PO BOX 1500
OSAGE BEACH MO
65065-1500
US

V. Phone/Fax

Practice location:
  • Phone: 573-365-2318
  • Fax: 573-365-3009
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number44778
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2013010843
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: