Individual
SAMANTHA TANNY HEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 BRECKENRIDGE LN STE 400, LOUISVILLE, KY 40220-1402
(502) 895-1111
Mailing address
642 BAXTER AVE APT 401, LOUISVILLE, KY 40204-2270
(606) 465-8715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC030
KY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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