Individual
CRYSTAL LYNN HEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 404, OWENSBORO, KY 42303
(270) 417-7500
(270) 417-7699
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008999
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201264200
—
IN
05
—
7100313680
—
KY
Enumeration date
10/15/2014
Last updated
11/27/2023
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