Individual
MARY CAROL HEIDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2014 EASTERN AVE, COVINGTON, KY 41014-1530
(859) 815-1098
(859) 815-1094
Mailing address
747 BEECH DR, TAYLOR MILL, KY 41015-2103
(859) 815-1098
(859) 815-1094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1027631
KY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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