Provider Demographics
NPI:1598645889
Name:HAYES, MEGHAN ELISE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ELISE
Last Name:HAYES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:606-330-7835
Mailing Address - Fax:502-350-5095
Practice Address - Street 1:110 S SALEM DR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-1761
Practice Address - Country:US
Practice Address - Phone:502-350-5081
Practice Address - Fax:502-350-5095
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant