Individual
CASEY THOMAS HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KPSS
Contact information
Practice address
640 WRIGHT AVE, BOWLING GREEN, KY 42103-1623
(270) 495-4323
Mailing address
201 CHURCH AVE, BOWLING GREEN, KY 42101-1805
(270) 599-3092
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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