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Individual

DR. JEFFREY KENT HEAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
130 E EPLER AVE STE C, INDIANAPOLIS, IN 46227-1987
(317) 757-5016
(317) 757-5276
Mailing address
130 E EPLER AVE STE C, INDIANAPOLIS, IN 46227-1987
(317) 757-5016
(317) 757-5276

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000760A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100140490
IN
Enumeration date
07/21/2006
Last updated
06/09/2015
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