Individual
KOURTNEY LYNN HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1550 YANKEE PARK PL, DAYTON, OH 45458-1868
(937) 439-4949
(937) 439-4948
Mailing address
760 CLIFTON RD, XENIA, OH 45385-9457
(937) 545-7905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028259
OH
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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