Individual
MS. HEATHER HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 VALLEY VIEW DR, LOUISVILLE, KY 40216-4221
(502) 448-0678
Mailing address
2065 MEADOW CREEK RD, CAMPBELLSVILLE, KY 42718-9362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060054
NY
1223P0221X
Pediatric Dentistry
Primary
10217
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2017
Last updated
08/11/2023
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