Individual
HEATHER KRISTEN CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
12504 US ROUTE 60, ASHLAND, KY 41102-9687
(606) 929-9440
(606) 929-9622
Mailing address
12504 US ROUTE 60, ASHLAND, KY 41102-9687
(606) 929-9440
(606) 929-9622
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111020
KY
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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