Individual
MRS. TARA HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 MEDICAL CENTER, MOREHEAD, KY 40351
(606) 783-6500
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA3408
KY
363AM0700X
Medical Physician Assistant
Primary
PA3408
KY
363AS0400X
Surgical Physician Assistant
PA3408
KY
Other
Enumeration date
05/18/2023
Last updated
04/30/2026
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