Provider Demographics
NPI:1386264034
Name:KNIFLEY, HAYLEY OLIVIA (RN)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:OLIVIA
Last Name:KNIFLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 EDMONTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-8467
Mailing Address - Country:US
Mailing Address - Phone:270-250-3990
Mailing Address - Fax:
Practice Address - Street 1:3050 EDMONTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-8467
Practice Address - Country:US
Practice Address - Phone:270-250-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1160950163WG0000X
KY3017400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice