Provider Demographics
NPI:1295022960
Name:TRIMBLE, HAYLEY DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:DANIELLE
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:HAYLEY
Other - Middle Name:DANIELLE
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-0432
Mailing Address - Country:US
Mailing Address - Phone:606-430-2207
Mailing Address - Fax:606-218-7507
Practice Address - Street 1:911 BYPASS RD BLDG A
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1689
Practice Address - Country:US
Practice Address - Phone:606-430-2207
Practice Address - Fax:606-218-7507
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48352207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100358730Medicaid
KY7100358730Medicaid