Kenneth J Hayles MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

09714 Issued in MS

Legal business name

KENNETH J HAYLES MD PA

Practice address

1550 Medical Park 1
Greenville, MS 38703-7239

Phone

(662) 335-6010

Fax

(662) 335-6208

NPI assigned

Oct 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth J Hayles, M.D.

Title

Owner President

Phone

(662) 335-6010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1033208129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MEDICAL PARK 1",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037239",
            "telephone_number": "662-335-6010",
            "fax_number": "662-335-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MEDICAL PARK 1",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037239",
            "telephone_number": "662-335-6010",
            "fax_number": "662-335-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J HAYLES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HAYLES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "662-335-6010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "09714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126774",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepali Ramdas Kale, MD
• Midhat Kamal, MD
• Parvez Karim, M.D.
• Shabana C Karim, M.D.
• Honorine Mojoko Kebe, MD
• Keplere Institute of Technology
• Charity Kilgore, FNP
• Kmeone Kingdom, PHARMD
• Joante Kirk
• Sherron D Kirk, M.A.

• Ophthalmology Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.