Healthcare Provider Details

I. General information

NPI: 1326454307
Provider Name (Legal Business Name): HAYLEY KUHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 S NELLIS BLVD STE 3
LAS VEGAS NV
89121-2087
US

IV. Provider business mailing address

2875 S NELLIS BLVD STE 3
LAS VEGAS NV
89121-2087
US

V. Phone/Fax

Practice location:
  • Phone: 702-843-2420
  • Fax: 833-749-0351
Mailing address:
  • Phone: 702-843-2420
  • Fax: 833-749-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18500
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: