Provider Demographics
NPI:1417249483
Name:HAYES, KAIRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAIRA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 7TH ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-4907
Mailing Address - Country:US
Mailing Address - Phone:785-639-1166
Mailing Address - Fax:877-350-1524
Practice Address - Street 1:205 E 7TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4907
Practice Address - Country:US
Practice Address - Phone:785-639-1166
Practice Address - Fax:877-350-1524
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2035103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical