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Individual

JAMES HEAPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 N EAGLE CREEK DR, LEXINGTON, KY 40509-1827
(859) 233-1490
(859) 264-8026
Mailing address
120 N EAGLE CREEK DR, LEXINGTON, KY 40509-1827
(859) 233-1490
(859) 264-8026

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26270
KY
207R00000X
Internal Medicine Physician
Primary
26270
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000359563
ANTHEM
KY
05
64262702
KY
01
P00224258
RR-MEDICARE
KY
Enumeration date
07/21/2006
Last updated
06/06/2011
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