Individual
MRS. KATHLEEN M HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8381 STATE ROUTE 119, MARIA STEIN, OH 45860-9701
(419) 925-4613
(419) 925-4168
Mailing address
1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 45885-2609
(419) 300-1129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.427848
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021992
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257080
—
OH
Enumeration date
12/28/2017
Last updated
04/02/2024
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