IndividualActive
Addison Haynes, DO
NPI 1295080620 · Family Medicine Physician · Kokomo, IN
Provider details
- NPI number
- 1295080620
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02004638A (IN)
Practice location
3118 S Lafountain St
Kokomo, IN 46902-3710
Phone: (765) 864-4160
Fax: (765) 400-4467
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Registry dates
- Enumerated
- 2012-07-23
- Last updated
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.