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Individual
ABBY C HEFNER
Active
Individual
ABBY C HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4406P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3722092000
PASSPORT ADVANTAGE
KY
01
—
50024362
PASSPORT
KY
05
—
78013554
—
KY
Enumeration date
07/07/2006
Last updated
12/09/2020
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