Individual
KATHLEEN RAE HEVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 N CHAMPION ST, YOUNGSTOWN, OH 44503-1636
(330) 480-5656
Mailing address
7349 WEST BLVD APT C, YOUNGSTOWN, OH 44512-5272
(330) 501-3132
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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