# GASTRO EAST PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508861139
- **Authorized official:** DR. KEVIN J. HEINE M.D. (PRESIDENT)
- **Authorized official phone:** (502) 893-0220

## Contact information

- **Practice address:** 3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207-4637
- **Practice address phone:** (502) 893-0220
- **Practice address fax:** (502) 893-0563
- **Mailing address:** 3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207-4637
- **Mailing address phone:** (502) 893-0220
- **Mailing address fax:** (502) 893-0563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 207RG0100X | KY | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65938243 | — | KY |