Individual
GARY HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 5, LEXINGTON, KY 40511-1282
(859) 233-0444
(859) 225-6027
Mailing address
1351 NEWTOWN PIKE BLDG 5, LEXINGTON, KY 40511-1282
(859) 233-0444
(859) 225-6027
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1081753
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
05/16/2014
Last updated
05/19/2014
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