Provider Demographics
NPI:1023724655
Name:POE, HALEIGH K (PA)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:K
Last Name:POE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1100 REID PARKWAY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374
Mailing Address - Country:US
Mailing Address - Phone:765-935-8802
Mailing Address - Fax:
Practice Address - Street 1:3542 WESTERN AVE STE B
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-3504
Practice Address - Country:US
Practice Address - Phone:765-827-7858
Practice Address - Fax:765-827-7859
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-05-01
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Provider Licenses
StateLicense IDTaxonomies
IN10003923A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant