Individual
KELLY DIANE HEFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S US HWY 75, SHERMAN, TX 75092
(903) 532-1400
Mailing address
1704 RANCH ROAD 3014, TOW, TX 78672-5170
(432) 557-4910
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
172817
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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