Organization
GASTRO EAST PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J. HEINE M.D. (PRESIDENT)
(502) 893-0220
Entity
Organization
Contact information
Practice address
3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Mailing address
3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RG0100X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65938243
—
KY
Enumeration date
06/20/2005
Last updated
08/22/2020
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