Individual
CLINT HEDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202
(502) 629-5552
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010788
KY
363LF0000X
Family Nurse Practitioner
3010788
KY
Other
Enumeration date
10/25/2016
Last updated
01/19/2021
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