Provider Demographics
NPI:1689956955
Name:KAIRA M. HAYES
Entity Type:Organization
Organization Name:KAIRA M. HAYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-639-1166
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1958103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200731700AMedicaid