Provider Demographics
NPI:1144775008
Name:HAYDEN, RACHEL M (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:M
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 N ELM ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-2776
Mailing Address - Country:US
Mailing Address - Phone:270-826-1500
Mailing Address - Fax:
Practice Address - Street 1:1413 N ELM ST STE 102
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2776
Practice Address - Country:US
Practice Address - Phone:270-826-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2035DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist