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Individual
BRIAN KENT HEABERLIN
Active
Individual
BRIAN KENT HEABERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
52550
SC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
TMP - 01602
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442280
—
OH
05
—
3810005836
—
WV
01
—
P00335936
RAILROAD
—
Enumeration date
07/12/2006
Last updated
11/06/2020
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