Provider Demographics
NPI:1922570779
Name:KIEHART, HAYLEE MORGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:HAYLEE
Middle Name:MORGAN
Last Name:KIEHART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HAYLEE
Other - Middle Name:MORGAN
Other - Last Name:MEVORAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2757 LOWER LAKE RD APT B
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-9429
Mailing Address - Country:US
Mailing Address - Phone:732-343-0318
Mailing Address - Fax:
Practice Address - Street 1:216 MONTOUR ST
Practice Address - Street 2:
Practice Address - City:MONTOUR FALLS
Practice Address - State:NY
Practice Address - Zip Code:14865-9669
Practice Address - Country:US
Practice Address - Phone:607-535-6094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013186-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor