Haley A Anderson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Versailles, KY

NPI 1679445720 · NPPES record last updated Sep 18, 2025

Key facts

NPI
1679445720
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
415831 (OH)
Practice address
2050 Lexington Rd
Versailles, KY 40383-1738
Phone
(859) 251-4700
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
415831OHMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 415831 OH Yes

Addresses

Primary practice location

2050 Lexington Rd
Versailles, KY 40383-1738

Mailing address

2200 Greencrest Way
Lancaster, OH 43130-7935
Phone (740) 409-0038

Other providers in Versailles, KY

All providers in Versailles, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.