Individual
DR. KEMBER B HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1107 N. MAIN ST., STURGIS, KY 42459
(270) 333-4030
(270) 333-7998
Mailing address
P.O. BOX 349, STURGIS, KY 42459
(270) 333-4030
(207) 333-7998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6721
KY
1223G0001X
General Practice Dentistry
6721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60067212
—
KY
Enumeration date
02/14/2007
Last updated
09/05/2014
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