Organization
HEARTLAND ENT & ALLERGY CENTER, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRO J YUN MD (OWNER)
(270) 765-5127
Entity
Organization
Contact information
Practice address
101 FINANCIAL DRIVE, SUITE 104, ELIZABETHTOWN, KY 42701-8450
(270) 765-5127
(270) 765-5337
Mailing address
101 FINANCIAL DRIVE, SUITE 104, ELIZABETHTOWN, KY 42701-8450
(270) 765-5127
(270) 765-5337
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65920233
—
KY
Enumeration date
11/06/2006
Last updated
04/10/2018
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