Individual
KRISTEN LYNN HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2010 W 38TH ST LOWR LEVEL, ERIE, PA 16508-2004
(814) 868-5481
(814) 868-7608
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006515
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031267420001
—
PA
05
—
1031267420005
—
PA
05
—
1031267420006
—
PA
05
—
1031267420007
—
PA
Enumeration date
07/05/2013
Last updated
12/29/2022
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