Provider Demographics
NPI:1801123831
Name:HAINES, CINDY (ARNP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:HAINES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE LITTLE CLINIC
Mailing Address - Street 2:300 BRIGHTON PARK
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601
Mailing Address - Country:US
Mailing Address - Phone:502-848-5904
Mailing Address - Fax:859-567-1253
Practice Address - Street 1:441 US HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:KY
Practice Address - Zip Code:41095
Practice Address - Country:US
Practice Address - Phone:859-567-1591
Practice Address - Fax:859-567-1253
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006313146M00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3003613OtherSTATE BOARD OF NURSING