Individual
KATHLEEN BRIKMANN HEFFERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 BAYLOR DR STE 155, BLUFFTON, SC 29910-8965
(843) 682-7480
(843) 681-9169
Mailing address
PO BOX 37643, BELFAST, ME 04915-1218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011038
NY
363A00000X
Physician Assistant
Primary
4991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02732305
—
NY
Enumeration date
07/20/2006
Last updated
03/18/2024
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