Keyon M Havner
Driver in Fayetteville, NC. Individual provider (NPI-1).
NPI number1689325946
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1689325946
- Entity type
- Individual (NPI-1)
- Name
- Keyon M Havner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | NC | Yes |
Practice location
6921 Kizer DrFayetteville, NC 28314-5431
Phone 910-978-6682
Mailing address
6921 Kizer DrFayetteville, NC 28314-5431
Phone 910-978-6682
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Driver providers in Fayetteville · All 9,765 providers in Fayetteville
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