Healthcare Provider Details

I. General information

NPI: 1245161603
Provider Name (Legal Business Name): KALIN HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 TOWNE CENTER BLVD STE 601
RIDGELAND MS
39157-4862
US

IV. Provider business mailing address

126 HOLMAR DR
BRANDON MS
39047-9550
US

V. Phone/Fax

Practice location:
  • Phone: 769-225-0045
  • Fax:
Mailing address:
  • Phone: 769-348-5799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: