=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952241457
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KENDYL HAYES APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2026
-----------------------------------------------------
Last Update Date | 04/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1530 AIRPORT BLVD
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32504-8616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-474-4777
-----------------------------------------------------
Fax | 850-484-2656
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5212 OLD BERRYHILL RD
-----------------------------------------------------
City | MILTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32570-8036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-776-7082
-----------------------------------------------------
Fax | 850-776-7082
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | RN9579414
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------