Provider Demographics
NPI:1053195891
Name:KAY, HAILEY (MSN, APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:MSN, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 WOLLER PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3724
Mailing Address - Country:US
Mailing Address - Phone:210-422-9443
Mailing Address - Fax:
Practice Address - Street 1:1314 E SONTERRA BLVD STE 5102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4289
Practice Address - Country:US
Practice Address - Phone:210-490-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131141363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics