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Individual

DR. TIMOTHY ALLEN HEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26532
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64265325
KY
Enumeration date
05/26/2006
Last updated
04/04/2019
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