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KATHLEEN C HAYNES FNP
NPI 1992065718
Nurse Practitioner - Family in Ellenwood, GA

Active since May 26, 2012
4539 WARREN MILL TRL, ELLENWOOD, GA 30294(678) 538-7151 Get Directions Write a Review

NPPES record last updated: May 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen C Haynes Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN C HAYNES FNP (NPI 1992065718) is an individual family provider in Ellenwood, Georgia, licensed in Georgia (RN101149) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1992065718
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN C HAYNESCredential: FNP
Location Address4539 WARREN MILL TRLEllenwood, GA 30294-2051
Mailing Address4539 Warren Mill TrlEllenwood, GA 30294-2051 · (678) 538-7151
Phone(678) 538-7151
Sole ProprietorYes
Enumeration DateMay 26, 2012
✔ NPI 1992065718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN101149
4539 WARREN MILL TRL, Ellenwood, GA 30294
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Haynes's NPI number?

The NPI number for Kathleen Haynes is 1992065718. It was assigned to this individual provider in the NPPES registry on May 26, 2012.

Where is Kathleen Haynes located?

Kathleen Haynes practices at 4539 Warren Mill Trl, Ellenwood, GA 30294. The listed phone number is (678) 538-7151.

What is Kathleen Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Haynes was last updated on May 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.