Individual
KAYLEA HOPE HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-8541
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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