Provider Demographics
NPI:1356521421
Name:HAYES, KEVIN RANDALL (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:RANDALL
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2604 SAINT MICHAEL DR
Mailing Address - Street 2:SUITE 345
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2379
Mailing Address - Country:US
Mailing Address - Phone:903-838-5500
Mailing Address - Fax:903-614-6140
Practice Address - Street 1:2604 SAINT MICHAEL DR
Practice Address - Street 2:SUITE 345
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2379
Practice Address - Country:US
Practice Address - Phone:903-838-5500
Practice Address - Fax:903-614-6140
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
NC2008-01564207R00000X
ARE-7053207RC0000X
WI62521-20207RC0000X
TXQ3378207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease