Individual provider · NPI-1
Dr. Coleen Marie Haynes, M.D.
Family Medicine · Kahului, HI
NPI number1700059417
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1700059417
- Entity type
- Individual (NPI-1)
- Name
- Dr. Coleen Marie Haynes
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2008
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 14467 | HI | Yes |
| 207Q00000X | Family Medicine | 7741A | WY | |
| 207Q00000X | Family Medicine | M-2529 | GU | |
| 207Q00000X | Family Medicine | MTL-2026-006 | GU |
Practice location
415 Dairy Rd # 320Kahului, HI 96732-2348
Phone 808-264-7584
Mailing address
415 Dairy Rd # 320Kahului, HI 96732-2348
Phone 808-264-7584
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