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NPI Code Detail

MEDICARE: HAYLEY JANE MACKINNON M.D.

MEDICARE: HAYLEY JANE MACKINNON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine PhysicianMD60943689WA
2207V00000XObstetrics & Gynecology PhysicianMD60943689WA
3207VM0101XMaternal & Fetal Medicine Physician042.0040193VT
4207VM0101XMaternal & Fetal Medicine Physician343551NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538554357
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY JANE MACKINNON M.D.
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-520-5700
Fax Number :
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 06/05/2026

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