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1033469879
KEVIN E HEACOX
LOUISVILLE, KY
NPI
1033469879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007650)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
Mr. KEVIN E HEACOX APRN
4001 DUTCHMANS LANE
LOUISVILLE, KY 40207
Phone number: 502-494-0604
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Mailing Address
Mr. KEVIN E HEACOX APRN
110 EXECUTIVE PARK
LOUISVILLE, KY 40207-4201
Phone number: 502-736-6332
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