Individual
BRENDA ELAINE HEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT, RDMS, RVT
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4011
Mailing address
8420 PLUM RUN DR, SELLERSBURG, IN 47172-9068
(812) 248-4770
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
227658
MN
2471S1302X
Sonography Radiologic Technologist
Primary
27505
MD
2471V0105X
Vascular Sonography Radiologic Technologist
27505
MD
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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