Individual
KENNETH A HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 MAIN STREET, FALMOUTH, MA 02540
(508) 548-8317
(508) 548-7407
Mailing address
78 MAIN STREET, FALMOUTH, MA 02540
(508) 548-8317
(508) 548-7407
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45802
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103004
—
MA
01
—
L07176
BC/BS
MA
Enumeration date
01/18/2007
Last updated
06/02/2016
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