Individual
IAN KRISTOPHER HEYDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15440 FRUIT FARM RD, AMESVILLE, OH 45711-9498
(220) 732-4438
Mailing address
15440 FRUIT FARM RD, AMESVILLE, OH 45711-9498
(220) 732-4438
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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