Individual
HEATHER H JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2333 RING RD, ELIZABETHTOWN, KY 42701-9162
(270) 737-4503
(270) 769-1978
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1711
KY
Other
Enumeration date
04/20/2012
Last updated
07/06/2023
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