Individual
MRS. CASEY J HEFFERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., LD/N
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7287
(252) 522-7157
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7287
(252) 522-7157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003425
NC
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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