Individual
HEATHER M. PILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2424 SIR BARTON WAY STE 175, LEXINGTON, KY 40509-2531
(859) 258-8530
(859) 258-8515
Mailing address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8530
(859) 258-8515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA599
KY
363AM0700X
Medical Physician Assistant
PA599
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95004644
—
KY
Enumeration date
09/13/2006
Last updated
12/17/2012
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