Individual
HEATHER MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1736 BOOTH AVE, OWENSBORO, KY 42301-4461
(270) 316-1576
Mailing address
1736 BOOTH AVE, OWENSBORO, KY 42301-4461
(270) 316-1576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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