Individual
MRS. KELLI NICOLE HEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 WESTSIDE DR, DOTHAN, AL 36303-1908
(877) 231-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(850) 233-3376
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 803
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.803
AL PHYSICIAN ASSISTANT
AL
Enumeration date
12/20/2011
Last updated
10/12/2020
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