Haygood, Kenneth Donald

Haygood, Kenneth Donald is an sole proprietor health care provider with primary practice located at 1304 Doctors Dr , Tyler TX 75701-2262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haygood, Kenneth Donald can be contacted via phone (903) 531-2320.

Contact Information

Primary practice address
1304 Doctors Dr Tyler TX 75701-2262
Phone: (903) 531-2320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K2341 Texas

Profile Details

NPI number 1326046616
LBN Legal business name Haygood, Kenneth Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated May 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326046616 NPPES
Texas Other P01200574 RAIL ROAD
Texas Other 8DQ314 RAIL ROAD
Texas MEDICAID 046531205 RAIL ROAD
Texas MEDICAID 046531203 RAIL ROAD
Texas Other 752616977042 RAIL ROAD

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