Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kala Renee Haynes, PA-C

Individual provider Physician Assistant · NPI 1508171315

Kala Renee Haynes, PA-C is a Physician Assistant in Ormond Beach, Florida. Qualified in 2010, 16 years ago. Practices with East Coast Nephrology Associates LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

335 Clyde Morris Blvd Ste 260
Ormond Beach, FL 32174-3181
Phone: (386) 672-4001
Fax: (386) 672-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105573 (FL)

Record details

NPI number1508171315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2010
Last updated in NPPESFebruary 25, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice East Coast Nephrology Associates Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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