Individual
HEATHER WINGFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
908 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 749-7909
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2379
KY
Other
Enumeration date
06/20/2017
Last updated
09/01/2020
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