Healthcare Provider Details

I. General information

NPI: 1760878524
Provider Name (Legal Business Name): HALEY LYNN AKIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY DEATHERAGE

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 STELZER RD STE 220
COLUMBUS OH
43219-3676
US

IV. Provider business mailing address

3600 STELZER RD STE 220
COLUMBUS OH
43219-3676
US

V. Phone/Fax

Practice location:
  • Phone: 614-312-6417
  • Fax:
Mailing address:
  • Phone: 614-312-6417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number59124
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35C.004436
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: