Individual
CAITLIN FAYE HEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 MAYFAIR DR, OWENSBORO, KY 42301-4519
(270) 688-1500
(270) 688-1501
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2861
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100764990
—
KY
Enumeration date
06/10/2021
Last updated
12/20/2021
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