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Individual

HEATHER L CONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
811 E PARRISH AVE STE 101, OWENSBORO, KY 42303-3258
(270) 691-8040
(270) 691-8049
Mailing address
2816 VEACH RD, SUITE 403, OWENSBORO, KY 42303-6295
(270) 684-1145

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49389
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201388030
IN
05
7100411540
KY
Enumeration date
03/23/2013
Last updated
04/07/2022
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