Individual
DR. HEATHER P MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6817 SANDSTONE BLVD, LOUISVILLE, KY 40219
(502) 689-3335
Mailing address
6917 SANDSTONE BLVD, LOUISVILLE, KY 40219
(502) 689-3335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002608
—
KY
Enumeration date
03/17/2007
Last updated
03/26/2015
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