Kevin T Heaton Do Pc

NPI 1073733671 - Specialist - 174400000X

NPI Details
NPI 1073733671
Enumeration Date 04/26/2007
Last Updated 11/06/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEANNETTE L JEANNETTE
Position EXECUTIVE DIRECTOR
Phone (541) 884-7746
Fax (541) 884-0848
Practice Location
2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS OR, 97601-1120, US
Phone (541) 884-7746
Fax (541) 884-0848
Business Location
2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS OR, 97601-1120, US
Phone (541) 884-7746
Fax (541) 884-0848
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number DO22887
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According to our database, Kevin T Heaton Do Pc NPI is 1073733671, taxonomy code is 174400000X and license number is DO22887, license state is located at Oregon. Kevin T Heaton Do Pc physically located at 2200 Bryant Williams Dr, Klamath Falls OR, 97601-1120. NPI Number 1033115704 has the healthcare provider type.

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1073733671 NPI number is provided on an as is basis without warranty of any kind. 1073733671 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin T Heaton Do Pc are for informational purposes only.