Individual
SHANNON HEEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
835 MONROE ST, NEWPORT, KY 41071-2062
(859) 415-2862
(859) 415-2863
Mailing address
3032 DRIFTWOOD CT, EDGEWOOD, KY 41017-9650
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/22/2014
Last updated
02/22/2014
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